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i <br />ieveretl <br />,` <br />� APPLICATION FOR �iIGHT-OF-'JNAY USE PERMIT <br />'I Type or pnnt clearly wdh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />� PUBLIC WORKS <br />EYERETT. WASHINGTON PERMIT NO._� �, �(' <br />I �PPLICANT (UNDFRSIGNED) AND FIRM REPRESENTED. IF ANV: <br />HERE�V APPIIES FOR PERMISSION <br />AT THE POLLOWIN6 LOCATION ��s'i? = s. v=" �,� VE�. GLF.: �� (�j,q ��7/��_3 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� l�Ovt��-t-�o � <br />i�_____ <br />i ��I <br />�c�r�t0� <br />�rLve wa w,�,� <br />�Q � I <br />`1��W �u 5 � lo� <br />I � <br />� '� <br />� , \' _ = <br />� <br />�j' �-L2-,�o <br />� /2 <br />PERMIT IS VALIO� FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CEt,L.L �OR INSPECTION 2!59-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />snven <br />pqAINAGE <br />W4TEN <br />i <br />STNEET <br />DEPARTMENT APPROVALS <br />Co�.rt+urvicnnons <br />TNPFFlC <br />PL/NNING <br />� APPF±OVED FOP CONSTHUCTION �'A�E <br />i <br />AVPROVED �S CONtiIHUGIlO <br />DRIVEWAY SECTION <br />I" LIP <br />L30� �30"_I <br />t-' '� <br />The untlersigned owner here�y egrees to hol] antl seve hermles. <br />Ihe City ol Everett �mm any and all claims lor tlamages, cosis, <br />e�pence�. or wuses 0� aelion ihat may anse becawe ol mslal:aiion <br />an� main�enahce 01 Ihe imO�Ovement o� oiher'�ighi-ol�way use <br />heecto aVPLed for an� lurl�er agmes to remove same upon nolicr <br />Imm Ihe C�ly and lo replacr Oubb� vropeny aamagea merehy. <br />/AI///.'� �1Y��J'(J� �i�=li�� — <br />_- cJ=�4 , 1 ��J � <br />S�GNAtURE O� AVPLIG4N _ <br />h�c��_��... _... � 1�t��e11 <br />q�i �[!E„�"—«`+"v S � <br />� � �j <br />({'.c�r,�. � 7 6 5 `.- — <br />��,. U , ���� <br />< }�/�� < <br />*ELEPnONE NUMo6 _ �'� -j���l II '�aY � N/.iE <br />i L �) <br />._ _._ 1�%!: <br />