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eyeren <br />� APPLICATION F�OR RIGHT-OF-WAY USE PERMIT <br />Typa or prinl clearly wi�h mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBIIC WORKS <br />EVFRETT, WASHINGTON PERMIT NO. "a� <br />.4PPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � � 1' - � � W � �—�a`� � ���' � � ��1 <br />F!EREBY APPLIES FOR PERMISSION TO <br />CO�-� �Tf2a���T F�M1 L O W r�i Id � S�'L'� <br />i� v n L '(�.� <br />J Z. l �• • — <br />� � 1 . --�=«�� <br />AT THE FOLLOWING LOCATION ��^ � <br />DRAWIi:G (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />,. <br />�,. <br />�, <br />r�� � <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOi; INSPECTIOIN 259-887 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />s��sn� -------- <br />pqAiNNGE <br />NATER <br />":,?cCl i __ -- <br />nVPH01'LO I �1V1 CJNtiI{iUCI <br />cornnwa�v,uc�+'- <br />tqAFfiC <br />PLANNWG <br />nPPHOVED�SCONSiNUG1ED -� � t��"�� <br />, . __ . . ..-� <br />� <br />DRIVEWAY SECTION <br />I�� LIP <br />� 30 � 30 I <br />.7 <br />ihe un0orsigne0 awner Pereby egrws lo hold nntl sevo harmless <br />Ihe C�ty o� Evereli Irom any an0 0ll claims lor Oamages. costs <br />cepenses. or causes ol action Ihnt may arise Eecause ol installation <br />and mainirnance ol Rv impiovemenl or o�her ngh��ol�xaY mo <br />he�elo �ppLetl lo� dnd I.uthCr d9�res �o �Cmmr sdme u0an nuhu� <br />trom itip C�IY �nJ Ic icpidco puh�,c I��op�'�IV �L�ma9M1 Inpipby <br />_ _ <br />� 1 � <br />� � • � _JL<.. . <br />� . ._ _ _.. .__ <br />SIGN/ iUAE OF NFPLIGNt <br />� �4 �� o�'� 5 5--i M� r !J l'. — <br />AOOAC55 <br />lan.nJcVi�-L�.. � �A q�iL?a <br />�tv iio <br />� 3C��1 - - II� - - <br />�E�E�'NO NUMOEA A�1ERNn1! <br />7�Z / �iC) <br />D»E <br />197p <br />