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everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vTypc or pnnt clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC VJORKS <br />EVERETT.WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENT[D. IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO jr� ��n �~ <br />AT TFIE FOLLOWING LOCATION <br />PERMIT NO. <br />Y�Y/� .li i .� ,C / .�7 i �-�'� <br />�U� Dr �cJc c.vi+ y (�S/��iy.��) <br />O U�' ,S -? �c-�� C�v{ "!�t r i� � f <br />DRAW�NG (WORK TO 8E DONE) OR THREE PLANS ATTACHED: <br />,�.��io�-�� � �/�v �--n /'��: ,�°,���- ' <br />�� „ � <br />�� .. , �� <br />�� �.� � �,���� ,�,�`- .�- <br />d • . �> �i� <br />����'2�Lct,��,�'�xL. -�,G�C;�� -�iYyZc�-��;%� <br />n`-=� CC� ,� t ���✓�•�,x�,2��'--�- <br />� r <br />���ZC��vI �{/�.Gtl��'L�'L��riz�1��1 -�� <br />DRIVEWAY SECT ON <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JODSITE. <br />CALL IFOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />sewcn <br />DPAWAGE <br />DEPARTMENT APPROVALS <br />COMMLINIC�110NS <br />�UNNING <br />S�XFt� <br />APP O-�CON�RII� N —� �t/� � <br />V <br />I APPROVED AS CONSiRUCTCU nat[ <br />r� j I" LIP <br />L_30_�__— _ _f_30"_J <br />I - —T '1 <br />The unEersignetl owner hereby agrers to holtl anE save harmless <br />the Gty ol Everell 1mm any and all claims lor damages, costs. <br />�epenses. Or eauseS ol aclion Ihqt may anse pecause ol mSlallaLon <br />and mam�enancc ol Nr impiovement or o�her nqh40�-way usc <br />br�rto applie0 10� an�l huthcr agrpes �o �emove same upon not¢e <br />Irom Ne C�ty dnd tu �eplece puUl¢ property demnyed tM1ereAy. <br />7`�"�-C�ly�`}» �>�.,-c <br />$IQNAIURE �� AC(��IGANl <br />�5��. ��Y� S <br />nDDNESti <br />����-k.�,�� ��,�...�.� 9e��� <br />7 7le �� 7 J J <br />nUERNnIt <br />