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evcretl <br />� APPLICATION FOR RIGHT-OF-VJAY USE PERMIT <br />Type or pnn� Uearty with mh <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />, EVERETT.WASHINGTON <br />, APPLICANT (UNDERSIGNED� AND FlRM REFRESENTED. IF ANV�. <br />, HEREBV APPLIES FOR PERMISSION <br />AT THE FOLLOWWG LOCA710N__ 2 3 O J Ui�� in l <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />li <br />P�NMIT N0.��3�� <br />A �c. i�zP,�ov�Nlc=il/T� uJ r� Hi�l P�t��.�e R�c,N r aF-/.cJRY <br />5 flA�� �,FSuRF�c�� 1� �l /1 sPH�z � Pr�e e�� � a� <br />.c v.r.P,�-1T' ,s�P�=c���i��J r�arr�5' <br />��� j(1.1-1�.�J�' ��'t �;f� , <br />'-- — ��,��J <br />DRIVEWAY SECTION <br />PERMIT 1� VALID 1=0R 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED -- � <br />� ON JOBSITE. r� 1�" UP �j <br />�, CA,LL FOR IRJSPECTION 259-881 / t�3--�1---- _--_..�30" <br />I 24 HOURS BEFORE CONSTRUCTION <br />Tne unecrsignea owncr hereby egrecs lo hold and save harmless <br />IM1e Cily pl Everell /rom eny and BII clalms iw Qamages. Wsis. <br />�'�pCli5C5. 01 Cdp5C5 OI dC�i00 �hd� T2� 81i5C bC[TC52 0l installatmn <br />nntl mamlonanep 01 Ihe improvemrni or o�her righDol-waY usr <br />liaeta apphed lar �nd lurlher ngrees lo r�move same upon not�ce <br />M1om Ihe Ctly anrl �o replace p�bhc pro0�rty tlamaqed Iherehy. <br />' �f` ` �' L[�� nu F�.n �„ :r�< �= /t/�-.95'c, <br />-iGNnTU��C � VVLrCnM - <br />J ^ � <br />Afi��� iK f�h�� / <br />E55 - <br />�'vt'a., � Gv —tff,�o l <br />��.� <br />ZIP <br />�sy s i��` <br />�CLLI� ONE NUMUER ALiERNAiE <br />� lt ��' I <br />�,.,,� ---- <br />�<<-__ _ ---- —_ __ <br />197A <br />