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' J L' <br />�� L5 <br />evcretl <br />Q APP�.ICATfON FOR RIGHT-OF-WAY USE PERMIT <br />� Type or pnnt clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIFS <br />PUBLIC WORKS /� <br />i EVERETT. WASHINGTON PERMIT NO.���S� <br />IAPPLICANT (UNDERSIGNEDI AND FIRM REPRESENTED, IF ANY�.�C I� NA t.�S�'v EFQS NC� <br />. ��i2M�NG �wi u' <br />�� HEREBY APPLIES FOR PERMISSION TO F�� �� E^�� a N� t F'p 0�K 3A° d' s�- <br />. <br />AT THE FOLLOWING LOCATION <br />��� <br />I <br />J <br />I�II <br />�� pR ��a s c � <br />u�,�EX <br />, <br />I' ; <br />OG <br />G <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />I: � � `�' ' '"- � ` 7^ <br />J.,- , j -'•' `T <br />� <br />)^ ( r f \ _l,_I <br />� _ 2C�_ . � ��� <br />"� Y�� \ �� _ <br />� <br />p��,,���� <br />� ��� � <br />2 � '� C uc✓��-� <br />c Rass �Nc� �J�do��TJ' <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-887 7 <br />24 HOURS BEFORE CONSTiiUCTION <br />/ � <br />CD��� L 1 <br />LNV ���. OG ` � � � ��� � � � <br />5 A <br />(3L 0 �-^ -ro <br />��` ��� � <br />o � <br />� DRIVEWAY SECTION 3 )2 a �� <br />� <br />� LIP <br />T�e undersigne0 owncr hereby agrees to ho�e end save �armless <br />Ihc City of Evcrett imm any en0 all claims �or dameges. ws1s. <br />ex0^-nses. or causes o� action Ihat may arige bewuse cl mstallabon <br />anA �ain�enance ol I�e �m0�ovemenl or other ng�Iro�-way use <br />hereto eppheG lor anC lurt�er agrees lo remove same upo� �ohce <br />Irom Ihe Ctly ane lo replace pubhc pm0erty dBmagetl I�ereby. <br />• ,Q_ l/.�'�:��� P,�Fs <br />51GNR1U�E O� A�PII�PNi <br />� 9d /,3 So U �v D ViEu� !iP- il/. GJ <br />nooAess <br />���,�w���! wa 9��9z <br />Grv no <br />�Sa- 96 97 �3a- 9.��� <br />iELC���ONE NU`ABER �LTEANAiE <br />�you� 2z /979 -- <br />� <br />