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•� rveren ' 1 '"�) �p ��� � <br />APPLICATI4N FOR RIGHT-mF-WAY USE PERMIT , <br />� TYPc Or print Clearly with mF .. . . .-. I j_ <br />PRf_SS HARD - 1'OU i1RG "'N<I:dG �".OP1=S <br />' i <br />PUBLIC WOFKS <br />EVERETT, WASHINGTON t PERMIT NO. �� �� �"�"' <br />�PPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: !�� � ��1. �le-_^ ^ <br />-1EREBY APPLIES FOH PERMISSION TO__ <br />) / � V' <br />1T THE FOLLOWING LOCATION L--u � U` � <br />DflAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� <br />�I a 2+�tJ��X S �2Y�, <br />/��?�ZC�.Q C� Pt/ ✓ S c�c.,---� � <br />�� � �� � <br />� • �-, ��-E- �.v�-k�-� <br />� �.��- � <<�-�-- �:.�� ��� �.t��,.. �� � �- � - <br />�� <br />' -�- p,2,�' .cl�e.� +..c,z 1 r,t.ti 5 �,�.�-K--�J <br />��5�,.��� 1 � �L�' I <br />' � ��,..� � /J 'L�1, <br />�_� �� 1 ��� ���<� ��� �-LI�ECi.CC'`� C�� `(,� � <br />..,, it�-�-v` � �- ,-. <br />.��-� � � i3 � c�,. �� <br />GT�F; LYd07' iS VALID FOF:7 �� E3At•�'s <br />COPY OF THIS APPLICATION TO E3E POSTED <br />ON JOf3SITE. <br />GCcLL F06i ILU�r,,t�E� n I�C1 � 5S�-�� 1 5 <br />:4 HOURS �EFORE CONSTRUCI'ION <br />DEPARTMENT APPROVALS <br />1VPROYED AS CONS7RUCTflD `•�� <br />� <br />DRIVEWAY SECTION <br />� � <br />( I„ l I P �l <br />L <br />�30" � _ 30"_ � <br />�—�-- - <br />Tnc undersigned owncr he�eby agrces to holE and savo harmless <br />I�c City ol Evcrcll Irom any nnd all claims lor Jumnyes. cosis. <br />Mpenses. or eauses ol aclio� Ihai mny ansc hecause ot mslallabon <br />antl ���d��lenBncc 01 ��c imf��nvemenl m oihm nyh�-uLway u5e <br />I�C�CW dpp�iCO 10� dlltl �Il1IhC� d(�fCl'S IO fl`I�IOVC SAlvC Il(l��l f100C� <br />Irom �M1C C�ty dnd 10 r^p6�CC p�,�lic p�oP�•�ly �ldmar�eJ :bciCby <br />' > 'r 1 <br />l � � <br />��,�._`�, ��� �.�_ - <br />'.II��NAlll�f01:�1'll�( III <br />��:.�� <br />;��-:�1--��/�_ _ <br />�_ �'-� �� � �r - - �/��. �> � <br />��. - - - . � <br />'.z �.� - _�'�� �� --- - <br />lt�l��•��'.l'.. VFt�� PLIE�iNMI <br />l `�>/\ <br />�i <br />Dn�f ��� � � � <br />_ _ _--- i9%8 <br />