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�� � APPLIC:A7'ION Fc�R RIGH7'-OF-Wf�Y :JSE P�RIIlIfT <br />Type or prm� clextly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. `�� � <br />APPLICANT (UNDEFlSIGNED) AND FIRM REPRESENTED. IF ANY: N�LI� A«< G-O�vS T. ���W/t(K< <'l NA�11Acp ) <br />HEREBY APPLIES FOR PERMISSION TO vS t A(t E 4 f oR /�c c �ir iro P�R�'irC <br />AT THE FOLLOWING LUCATION % S Z 4 WALNVr S�. . �l-��1� -� r�� �OI <br />i <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLIC.4TION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 239-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEN <br />DRAiN4GE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMML'NIC�TIONS <br />TRO�fIC ' <br />FLANNING <br />('�G� /,1.. T— <br />APPRWEDF RCONSTH CTION aT� <br />� �� t ^ � �/�- <br />A PROVED AS CONSTRU TED oniE <br />CONSTRUCTIONiAS BUILT <br />ORIVEWAY SECTION <br />�— j I" LIP <br />L <br />I� so'�,, , I _r3�o�l <br />Th! untlersigned owner hareby agrees lo holC enE seve hormless <br />t�e Ciiy ol Everett Irom eny antl all cleims lor tlemeges. coats. <br />eRpenses. or causes ol e[tion ihat may anse E¢cause ol install9lion <br />BnE mainlenance ol Ne �mpravemant 0� oiher ngh�-0l-wey use <br />n�reio acv���d �o� aoa i�nner ag�ees �o remove same upo� not¢e <br />Imm the Qty end to �eplace publ�c pruperty 4amagC4 Iher¢by. <br />� L���/� <br />SIGNATURE O� A��IICnNt <br />ti3t NICi��9�✓0 <br />PO�AE55 <br />�LEnETt G�.�+Sl/ q$2ol <br />CITY ZI{' <br />LSZ� �yJ�o <br />TREPMONE NOMOER TIiEANPTE <br />4-g-g� _ <br />DATE <br />