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r <br />I . . . . <br />�'1 ^verEN <br />Q APPLICATION FOR RIGHT-OF-WFiY U5E PERMIT <br />'I � Type or prmt clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS ,' <br />EVERETT. WASHINGTON PERMIT NO. .�^5 <br />APPLICANT IUNDERSIGNED) AND FIRM REPRESENTED. IF ANY: `— �5 ' " ��/t" � , � — <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOINING LOCATION <br />I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />'� p�� ���2 .��� �� .��,�a�� <br />PERMIT IS VALI[1 FOR 60 DAYS <br />COPY OF TFiIS APPLICATION TO BE POSTED <br />fJN JOBSITE. <br />CALL FOR INSPL=CTION 259-88 t 1 <br />24 HOURS B[FORE CONSTRU�TIQN <br />DEPARTMENT.APPROVALS <br />O �i 1'�I:� � 1�. � h. � � � l�) IA �n.S U' �. � i �_ I <br />DRIVEWAY SECTION <br />I" LIP <br />��_"i'-. --►�.30., <br />Thn un0ersigned owner Oe�eby egrces lo �old an0 seve Oarmless <br />�ne City of Evereit imm any anE all clnims for damages. costs. <br />e..penses. or causes of act�on mat may anse �ecau,e ol innailalion <br />antl mar�:enance o� ��e impmvement o� olher rigltl-of-way use <br />hcrrto 3pW�Ed br nnd �uY,her 9grees �o rpmove Same upnn nobce <br />Oom Ihe COy and lo rcplace ou�irc propei�Y tlema9cd Nr�e�y, <br />..a. �^", `-� <br />uN URCOr>'n�� � • <br />�/09.�3 /1�a�,.ce (��u� I�r. <br />PI�J�fS� G-7 <br />L /�rf.� C!V<0¢ <br />cirv ziv <br />Z�3-aa�G <br />iREPhONE NUMBC� ALiERNR1E <br />4-�-7 _ —_ <br />pn*E <br />