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U APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prinl rlearly wilh mk <br />PRESS HARD - YOU A'iE MAKING COPIES <br />PUBLIC WORKS � <br />EVERETT, WASHINGTON PERMIT NO. <br />APPI.ICANT (UNDERSIGNED) AND FIFlM REPRESENTED, IF ANY: <br />HEREBV APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION <br />L /'1 � i :�`//���riy I� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />✓ nq�'Jn-� — Ci,o��%Y Yoyp�.c..io./� �rn�- <br />_ V..1� }� /-j J/ (I i n a w ca � 1�3 � v/,4 ..� 6/'✓ o., lv. l., � f <br />/ � �� "� //// <br />� � //11 � ) a l�ob �...N.o.o��.,7� <br />��// / � n //. (S)i�ti�io.o..e� �o ��"t <br />� �fe�! 6-i-7 �" <br />�� � <br />0���. � ,/�/B <br />r�iAU�1a[p hox p+� s/!�C v,(�AiNa�P <br />�-•..s�,.�/ c �..6�9�� � u... � s� ✓r.�.,a/,C�' o„� i1/o�-�%r si✓e �Lb �r•>`� <br />P.G� g!t '�- I� t��IC�^ Cti �� SM'� r.�A/� c'N �/�.t+u % f �"4 ST G� <br />w � t./ � • <br />�l,,a.q RAyPs a!' �P,�al,�, , <br />�.4-ue A�IP � I' Yl°'� 2G �' SI`, To so.,Yl P.Pe�• �L�I�C . <br />r <br />i <br />'�,g.7g <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECYION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DRAINAGE <br />DEPARTMENT APPROVALS <br />GOMMUNICnT10N5 <br />rnnrvic <br />PL4NNING <br />APPROVEDFOF CONSTRUCTION DniE <br />�.-r�i-:�-:�crens�cr.. �:�,i��i�n — —.--- � <br />'� DRIVEWAY SECTION <br />�� j+l" LIP s <br />� 30,rJ _L 30�� <br />The unEerslgned owner �ereDy agrees �o �ola enE seve harmless <br />Ihe City ol Evorett Irom any nn0 all claims lar demeges. cosls. <br />e�penses. or cnusesbl aclion I�el may anse because ol inStallal�on <br />and maintenance ol I�e improvement or ot�er ngM-of-way use <br />�e�elo PpO��� �oe 0ntl furiber aqrecs la rmnove same u0on not¢e <br />irnm Ine City antl lo replace pu�hc pmperty tlxmagetl Il�ereby_ <br />.S TOCKt'!� <br />; �� <br />r. <br />�G�t�(l�YA � .6-�� t>-L "`':^ ~ <br />'�516NAipRE O� dVPLICaM � -- "'- <br />G 3 L,,,, � � r�, ;; � <br />nooNess � � - <br />�s., �ti a:m � s� �dGYJ • / k a% � <br />clTv --T� Zin <br />�J`l�- f�;s�' <br />iEL[VHONE NIIMfiER � � ALIERNAIE <br />1�,�Z� - - <br />