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+ L=. <br />�.: <br />everett <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type Or pnn� clearly with ink <br />, PRESS HAFD - YOU ARE MAKING COPIES <br />� PUBLIC WORKS <br />� EVERETT. WASHINGTON PERMIT NO.��� <br />i � <br />APPLI�'.ANT (UNDERSIGNED) AND FIRM REPRESENTED, IF <br />. HEREBY APPLIES FOR PERMISSION TO_G� <br />/ <br />AT THE FOLLOWING LOCATION <br />�z.r:r� <br />� <br />PR �osco <br />a- u�IEX <br />J3Q/a <br />i <br />; <br />, <br />. , <br />.,:�1� � _ � <br />�'4 <br />�d <br />� <br />r�Ml <br />-f --y� 1 <br />l` <br />:�\ 1' � � � ' � ' �� <br />r <br />, <br />,' � <br />r : f t.l .. � , <br />\ � ���� ��� <br />�' p � �,' <br />9 �� <br />Z `� '� � �1L�i��'� <br />C Rass r�1CZ �%�d �kT�' <br />PERMIT IS VALID FOR 6a DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />CONSTRUCTION/AS BUILT <br />i <br />Ov`'�'LL <br />i � <br />L,�fU"lzt ` �" <br />cr �- �-� � � � ��.to"wD <br />�✓ O C"C A <br />L p �-� � ; -( o `� <br />�o��� � � ��v <br />DRIVEWAY SECTION �rnQ <br />� <br />I" LIP <br />� <br />T�e uneersigneC owner hereby agrees Io hold and savo harmless <br />Ihe City of [veret� trom eny and ell cleims br damages, cosis. <br />c.0ensr5. or causes of actlon Ihal may arise bew�se ol inslallehon <br />anG mamlenance ol ihe improvement or olher nqht-ol-way ose <br />hereio appLed for and lurihei agrees lo remuve same upon nol¢e <br />irom I�e C�ty antl lo replace pu�lre pmneny 4amage0 Ihere�y. <br />C� �-�,,�u�.'/+�u,ti P,eFs <br />$IGNf�iURE Of APPUCANi <br />/ 9a /3 so u�v o v,EcJ .DP. .v. Gv <br />noo�css <br />��.sNw���l Cva 9�'�9z <br />��,� Z,� <br />�S� - 96 9 7 �s� - 9,� /� <br />iELEPHONE NUMBLR FLiENN/iE <br />"h1� 2z /979 <br />on*[ <br />