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everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearry wrth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS � �/ <br />EVERETT, WASHINGTON PERMIT NO.� / �- <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IP ANY: -r. ^ 1• � IOGi LV nJ'J <br />HEREBY APPLIES FOR PERMISSION TO C�O J-� S 1�C 1.� C I � r Vl�l Fi AI 1 � I�A �Z � �+J� <br />J <br />ki�F.A Oi-i• G�f.Liz `� . <br />AT THE FOLLOWING LOCATION -z C� U� 'vJ A �/�% U 1 � 7� �Iz � �L � I <br />DRAWING (WORK TO BE DONE) OR T�IRE�yLANS ATTACHED: <br />-�-�— — — — — <br />— — — —�sE���a <br />y� <br />u <br />�,:����;-� <br />�AQ�i�� <br />nacn��c <br />k <br />1'_' <br />e <br />� <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOFi INSPECTION 259-881 1 <br />24 HGURS BEFORE CONSTRUCTION <br />DEPARTtitENT APPROVALS <br />sns�r� <br />OBAMnGE <br />WniEN <br />SiREfi <br />��,q- / �� <br />� 0�-,�t��L ,�� <br />con,niur��c.,��ovs ------ <br />1NqFFC <br />VLANNING <br />9-i�-� 9 <br />� RiE <br />� � � pG <br />IJAr� <br />C�:_� N:> i H U CTl i'.!� ,�[3 U I(_T <br />��j � �.. y ..,.' J� n i5.- <br />� ,z v a. av.. � <br />L;�lIVCl�O (�`'•'r-"-�KC' �- - . <br />y�r�%� 6^:'AOCO' <br />.:ilftKll�L 1�/L'L�i [ c'r^ 1 L_ j" <br />-3, SaN .. �yi.'c <br />��9; i p�� <br />, <br />DRIVEWAY SECTION <br />r� � I" LIP � <br />I_3� _�_30�� <br />r <br />T�e untler5igneG owner hereby agrees lo hol� antl seve harmless <br />Ihe City o/ Everelt irom any and xll claims lor tlnmages, cosls, <br />etpenses. or eauses ol nction I�at may anse because ol msiallalion <br />dnd mdin�ennnce ol ihr im0�avemrnl oi all�er ngltl�ol-w0y use <br />nrirto anu��ea lo� nno huin"i ag�ces �o iemoce same ut'on nobce <br />ho�n V�e CiIV rmJ to �rPldcc I�ublrc Ivo1�e�1V <tama9al Ihe�eby <br />1ElEPHONC NUAI[3ER V PLIERNAI[ <br />A-UG �� l���i — <br />pAiC <br />