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!Y� APPLICATION FOR RIGHT-OP-WAY�USE PERMIT . <br />e TY� o� �M ��.�,Y �� ,� <br />PRESS HARD - YOU ARE MAKING COPIES <br />�: r <br />pueuC wo11KS � PERMIT NO. ' -� - <br />EVERETT. WASHiNGTON � . <br />APPLICANT (UNDERSIGNED) AND FIRM REPHESENTED. IF AHY: <br />HEREBY APPLIES FOR �ERMISSION <br />/ <br />AT THE FOLIOWING LOCATION � ��� � /� �1� " � �/ <br />DRAWING (WORK TO BE DONt) OR THREE PLANS ATTACHED: <br />✓ g�1-�� <br />�� Ga b e/ w�cc ti <br />�� 0.�i��- <br />------- - <br />� <br />���f� \S <br />��-o blPwts <br />�� ���5�;�� � � � o � <br />' h� K <br />I I �,S �c <br />`tl-v11� 5 ��� o� ��lYeet i n <br />a Vr C7.+`�-' - wo�.�,lcl %t h�c t ���assi��c �.i <br />�w�w`- �w���PN, e�s <br />PERMIT IS VALID FOR 60 DAYS <br />CUPY OF THIS APPLICATIQN TO BE POSTED <br />ON JOBSITE. <br />CALL FOR II�SPECTION �59-881 1 <br />24 HOURS BEFURE CONS i RUCTION <br />SE W ER <br />DRnINl.GE <br />WAIER <br />s�nEEt <br />DEPARTMENT APPROVALS <br />COMMUNiC��i0N5 <br />TR1fFlC <br />FIANNING <br />? � <br />% — , �-- �'�S-/C'o <br />APP VED F�}a CONSTRUCTION � DA*E <br />/ <br />APPROVEG A CONSTRUCTED �^�E <br />• �;J� fIA!_ INSFi:CiION R[C)ULSfED <br />DRIVEWAY SECTION <br />I" LIP <br />�30, �— �_30„ <br />The underelgned ownor hereby aqrees to bold antl save �armless <br />ihe City ol Everait Irom any antl ell claims br damaqes. cosis. <br />e,penses. or causes o� acimn Ihai may anse becwse ol inslallation <br />antl mainlr•ndnce u� IOe improvemeni or other iiyhl-ol�wdy use <br />Peieb aVN�cd �or and Iwihe� agrces to romove samr upon noticc <br />hom I�o CdY �ne1 lo ropl2ca P��bLc [�ropeitY 4:.md9o0 �M1e�npy <br />� � � <br />51 � 'RT�RE O� AP�'��CPrvI <br />ti5 <br />/- . . : ' /%— �J _ <br />TELEVHONC NUMpEN ALIERNAtE <br />' t _ <br />pP�[ _ <br />/ -` i, i " •, •• _ _ _ <br />� <br />