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everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType or print cleany wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS ,.,p% <br />EVERETT, WASHINGTON PERMIT NO. /T/� <br />�'[� � � � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANV� �' �'�"S�O � 4%�%1✓'h/IS �iVC� <br />HERE�Y APPLIES FOR PERMISSION TO e�Ns� >>�/�-T � �-�/U�////�l�C�/fy <br />� o�= i r ,,._ _ U✓. �. C r <br />AT THE FOLLOWING LOCATION � p�T'� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />,�-�-� ��� � � n�� <br />PERMiT IS VALID FOR 60 DQ►YS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS FiEFORE CONSTRUCTION <br />._i r. n; —._ -- - <br />urPGE <br />�.:.'I R <br />-. ,,: — <br />DEPARTMENT APPROVALS <br />COA�MUNiGAiION'� <br />IRA{iIC <br />NLANNiNG <br />� % /.,, . . i/_ <br />�. <br />/ <br />- ���� �z <br />APP pVEO fOH CON TR TION D4iE <br />u1 �' VU <br />nr�=i�jv onscoNsiisuc�eo , o�re <br />DRIVEWAY SECTION <br />I" LIP <br />L30'�___�30" I <br />i - +1 <br />T�m imtlersigne0 owner liereby agrees to �oIC end save ha�nvv�__. <br />❑��� Gly ol Everelt Imm any en0 all claims lor tlamages � ,. <br />�'tpi'��seS or ceuse6 ul Bc�ion lhai mpy anse be<fluse ol rns�BLL�tl�;�n <br />�•J niain�en,lncr �I thp inipiouCmenl or othrr n�lil-Oi-oa�; i� <br />��..� �I'I�.... �n.IM1rN.iipn�a...ier..., ..iri.,l�r,i..e,. <br />� �2��/��`�:;� <br />.IGNAiURE O� d�'C�iCANI <br />_�.�ox y�9 <br />�DD�+E55 <br />/l/lfrf�l,.�o uJ� ��0�.� <br />��r. <br />Sa�- o y�y <br />1ELLPHONE NUMOF� ALLERNAi[ <br />�-3-�� - <br />c�,r -- <br />- — — <br />If._ _...__. — <br />t978 <br />