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evercY <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or print clearly wlth ink <br />�I <br />PRESS HARD - YOU ARE MAKING COFIES I <br />PUBLIC WORKS �7 � i <br />EVERETT. WASHIN�iTON PERMIT NO. / � <br />' APPLICANTtlINfIFFSI( <br />� HEREBV APPLIES FOR <br />_ _ ��R{ <br />I AT THE FOLIOWING LI <br />DRAWIWG (WORK TO 2E DONE) OR THAEE PLANS ATTACHED: <br />.�� c� 1 I �ict.rc� �� �Cl�s <br />� ��� ��er� <br />�� <br />D/� <br />U <br />�Uwl <br />/ �G� <br />u�� l <br />// /s������� <br />� l�"� � <br />1��� /n� <br />�� <br />y e,r /. <br />+� <br />/� a��� ✓�c ��`�/ <br />�N <br />a~ 7�,y'� / <br />� �. .�-v v, z � <br />' jj / u i <br />C•N- S ��/ �•L, � J -/ LJO <br />6. `:J 1 ytr< <` , f=(% �K/-` <br />C ' �� �l"���� � c z' �� �«�� 7 � <br />��;,•� � �/ � <br />yi u < < <. ., .� �� ; <br />�< y - T <br />PERMIT IS V/4LID FOR IF90 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFOHE CONSTRUCTION <br />DRPINAGE <br />Wl.TER <br />DEPARTtitENT APP�?OVALS <br />WMMUNIGATIONS V� V� � � <br />TRAViiC <br />PLANNING <br />SiRCE' � <br />- v���_ .� , �� � .l-� — �j <br />ov �n Foa sr uc/iior+ oA,e <br />���� /L �.� j7/r/ j: <br />�.% /9 / /�_ _.-___ -. // A �-_ __ <br />A��Ir�A (ry;�F�� T[1� _ <br />n..n♦ <br />1 <br />DRIVEWAY SEC710N <br />� � II <br />I" LIP _TI I <br />�30,� �30" i <br />The un0ersigneA owner hereby agrees lo hoid and save harmless <br />t.{�,� �dy ol Everetl fr_'.� any and all claims lor d;,mages. custs. I <br />M�ses. or causes ol action ihat may anse because ol ms�all&hon � <br />an0 mainlen2�Ce ol Ihe improvemerii Or Oiher righ4ol-way u5P I <br />fOr an0 ���rlher agrees lo remove Same opOn not¢e i <br />�� �e Gry antl lo replace publ¢ property damaged Ihereby. <br />L�LEPHO��MB�� AIikPNAiE I <br />