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everen <br /> Q APPLICATtON FOR RIGHY-OF-WAY USE PERMIT <br /> vType or prinl cicarly wilh ink <br /> PRESS HARD - YOU ARE MAKING COPIES i <br /> PUBLIC WORKS �^/�/� <br /> N <br /> EVERETT, WASHINGTON PERMIT NO. � <br /> 9 � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: � �%` v% � /`• L /�rC���Z <br /> HEREBY APPLIES FOR PERMISSION TO �� '�'b` � �� ��/ 1C� !'�Gi r"Z CD�C/2�� T/Cr (�Ll S <br /> /?�„it/ L A �I> - r7j°/�iZv�/ 5� � ��,� 1//i�Tf1 <br /> AT THE FOLLOWING LOCATION �✓S� Y ME�ZI vr� la/ /�'I/Fi ��� <br /> DRAWING (WORK TO BE DONE) OR THHEE PLANS ATTACHED: I` <br /> �: <br /> � Ilu. \� s <br /> x <br /> '£ r I03 � 'a <br /> 1 <br /> I� � <br /> � � <br /> �;:;:K°x c�p �T -�I 11 I <br /> I �— �- ---� �T� -- - I <br /> ME1:�1>>u_u ��v� j <br /> �------ --�_ -- I <br /> �lJ��k 1J(J`�- ��� C� � '� -�� �'`h-` I <br /> � <br /> _—_-- <br /> �,-� , � � <br /> _ �C�� ��> ('� ,.. � I' <br /> �,. � <br /> < p�s� <br /> � � >_ _;�� <br /> r � � � i � <br /> , � <br /> � ��Q. �,� ..�,�L /!ti'w�rL,l��Ll,�_-v, t_ j � . <br /> � <br /> DRIVEWAY SECTION � <br /> PERMIT IS VALID FOR 6Q DAYS � � <br /> COPY l�F THIS APPLICATION TO BE POSTED r� i i„ �IP <br /> ON JOB�ITE. � <br /> CALI. FOFi INSPECTION 259-881 1 �30 - _I 30" I � <br /> �� <br /> 2! HOURS BEFORE CONSTRUCTION i <br /> The undersigne0 owner hereby ogrees to �oltl antl savo harmi��ss <br /> U�c Ctly ol Evcrett Imm any antl all clain„ 1or Oamages, cusis I <br /> expenses.or Causes ol aclion�hat rt�ay ar�se�etause ot ms�oliab ��i <br /> ind manilen;inte ol ihe impiovemenl Or OIM1er riphl-ol-w.�y i... <br /> ' ivio if '.I �q lor m�l I i 1 , i aq c lo nro�. s�i i t •� of.u- <br /> I Un� -�. C r dnC I" .P• �. 11 1 r.�..ilv <br /> DEPARTMENT APPROVALS � �� �" <br /> I <br /> SL'.'.fq COMb1UNICATiUNS �--�"- I <br /> L`�:aiyAGE TRFFRG ' � ' � � <br /> � � <br /> _ \ <br /> ����� ���s������ ._. � <br /> :.:,;LN PLAN4MG SiGNATUREOFAPP 'AW — �..•- . _. . <br /> �� zEEr <br /> / D 3 � '�.� 017\�.��� � � . <br /> � aoonEss <br /> /� � -7 �.i.--C� 7 � � � l"� <br /> d �? � aTr � F na <br /> P OVED FOR CO TRU ION �AtE � _I )j � �j � � <br /> �f���_ ��1��Y� IEIEPNONE�)1�If3ER �� ' .� `� � ALIERNAiE <br /> fot� �> , , , \ <br /> � �----- <br /> AF 11DVt�AS CONSTNUCTED pqiE ' OAIE � � <br /> l�01'�1P:I iUC 1 �01J%.�S GU��.I 1978 <br />