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everen <br />� <br />APPLICATION FOR RIGHT-OF-WAY 115E PERMIT <br />Type or print cleady a lh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PF.RMIT NO. '� � � ' �� <br />PUBLIC WORKS <br />EVERETT.WASHINGTON <br />APPLICANT (UNDERSIGNED) AND F�RM REPRESENTED, IF ANY: <br />HEFEBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION _ . 3C{� �/ �f � " ' � � l -� X — <br />DRAWING (WORK TO 9E DONE� UR TI�REE PLANS ATTACHED: , � <br />� �/, ::_ .., ,:,�.� <br />C, ���.,��c� w•?/ :i;..,./ /� (� � ,-; � —� <br />�i.�i: �r.i <br />� "i J 7 '/ � � % /. � v C^'e� <br />-y, .:.,-.�;,- �.,:,� t,� �� <br />,� / <br />� - <br />�c ��� �. c��- i i�%�C�EJI��' J,I�iPLL'/f���`:L l"l'k f'P/.O/I'/;��� , ��i��.,���/, ,'9 =, <br />� �- � ,Pif/ —� �'�/i ��tt��Y �' '��d�- _ril/ �'�s%1��/f1 �t' �l �s!�'U <br />�i��u10! C'C��S G� f� fd/�:��!'� /U' � S 7G G C' i S.2 3� z`� 76� ZGi � <br />� 7� �7� F/TC�rr� �l T 9� f�L ��f15!/�f�s�T TG �G 15 27� �'s <br />t��Gd'U( �G, TS � 5� Z6 <br />f�l ��/ i�� F'�FDic�l`�i��7"�� T%'��rs •rir•��c �� 1��/.P��I�� �Bzr <br />C�"T �ib �,�J� y.{'ol1/�c �/�s�-�'��ic/rs fD� C�rl�1d2,� lfSc <br />c'�,�GO T � ��'l�z��i9 <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TC BE POSTED <br />ON JOBSITE. <br />CALL FOR INSfPECT10N 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />L— <br />SEWEN � COMMUNiCFT101J� <br />\ ; <br />OP�INAGE TFRFFlC `� <br />�� \ <br />1YATER � PLPNNING <br />l <br />SiqEET <br />�'��:1 `'f//Lu ��2'L!�' 7���7r,� <br />A VE FOR C— O�T� E <br />AP� WEU AS CONSTFUCTED DA E <br />INITIA� �N: PEC"i IQN REC�UESTED <br />DRIVEWAY SECTION <br />�- -� <br />t I,� LIP � <br />� <br />L30"— i �—�-- .�3p„ i <br />i- <br />Tho undersigned owner here0y agrees ro holtl end seve hermless <br />Ihe City ol Everelt Irom any antl all claims lor damages, cosis. <br />eRpmsee.. or cnu5e5 0l ac:ien Ihal may anse Oe[ause ot m5lallaiion <br />and maiNenance ol I�_ imOrovement or other nghl-ol-way use <br />�mnio applied lOr anE lurlhar agmes lo iemove sa��e upon natice <br />Irom Ine City anC lo replat2 pu�l¢ pwper(y damaged Ihereby. <br />� ' - <br />1 �- � <br />1 � ' <br />51 � AIURE OF qPPLICRNT � <br />:�� <br />iELEPMONE N�RIBEN ALIERNAiE <br />