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c . <br />!VAl11 ' <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />'PRESS HARD -'YOU ARE MAKING COPIES <br />PUBUC WORKS , /�� <br />EVERETT. WASHINGTON PERMIT NO. / <br />APPLICANT (UNDEPSIGNED) ANU FIRM REPRESENTED, IF ANY: <br />/ f r <br />HEREBV AFPUES FOR PERMISSION TO l r//`�1 ��-�'G� `��}_! �i�-(' .;,,1"CL/�- (� <br />'—�— <br />ATTHEFOLLOWINGLOCATION___ _.__�TQS <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 6Q DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS F3EFORE CONSTRUCTION <br />Sf.�Y[�+ <br />pRAINAGE <br />W Ai EN <br />DEPARTMENT APPROVALS <br />C.(Ji.�1.111NI1.A1 <br />iPAFFIG <br />PLANNINf. <br />1 ' <br />, � �;�-, ,. <br />, ,��' ,.,, _. _ , � 7 � � �� - f% <br />AP R,;:%:;;�GONS R f0 ,: � onTE <br />,� ;�.��5 � <br />�' ��� <br />APPROVLD AS NjW1U� OAtE <br />`�,. �� I (1UG1 �llivl;t.: ;':I��_� <br />C � r <br />DRIVEWAY SECTION <br />�— _"I <br />j I" LIP --_-�� <br />� 30�'i'— ----�•30 <br />Tnc undersignetl owner hercey aqrees to hole antl save hqrmles� <br />ihe C�Iv ol [verett Irom any anE all claims for damages. costs. <br />i•.prnses. or causes o� aclion Ihat mdy anse because ol insiBllal�on <br />.�nJ m:unlenTnce 01 the improvemeN or oiher righ�-o�-way uSP. <br />noielo apOhed lor ,�nd lurihe� agrees to remove same v0��� nohce <br />Irpm the Ctly dnd �o rppldce public prOprrty damagCO I�ereby. <br />��(l <br />� _1�CL'i �—__ rt� _ . <br />SIGN�IIJ�EG� /�PUC/+N1 �4� <br />//(J ,Z � � `/ L� _'� <br />noruc,� — ------- —'--- <br />.Evn�r1�� � yY,ZU`� _ <br />��,� � <br />,�3������ a <br />iELENr+ONE rvu6+oEn n�iLRNn�( — <br />6 is• �� <br />nnrr -- - <br />1978 <br />