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i <br /> A. _� � <br /> ��t�r„ <br /> � APPLICaTION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleady with m4 <br /> � PRESS HARD - YOU ARE Mh::MG COPIES <br /> PUBLIC WORKS �� � �� � � � , <br /> EVERETT,WASHINGTON PERMIT N0.1fL�/ L.2�.— <br /> APPLICANT(UN�ERSIGIJED)AND FIRM RFPRtiSENTED. IF ANY:��� , �r(itr!'� /Jf, a ,���.i <br /> HEREBV APPLIES FOR PERMISSION TC—CG.' t�/S�� ti T�l-Yh-ti��-�/�w/���..�.0 <br /> �t-e-�� ' <br /> AT THE FOLLOWINC3 LOCATION Z�7 0 / �.u/'�_�� _ <br /> ARA�YING (WORK TO BE DONE) OR THAEE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i i" LIP <br /> ON JOBSITE. ' <br /> CALL FOR INSPECTION 2s9-861 1 �.30" _. _�30" <br /> ' 24 HCIURS BEFORE CONSTRUCTION <br /> The untlersigncd owner hereby egrees to ho10 e�E xave ha�mle�,s <br /> t�e Cily ol Everet� �mm any an0 nll claims lor Oamapes. crsts. <br /> � eRpenses.or causrs ol ection lhat may ense because ol msl[Lation <br /> I antl mainlenance ot I�e �mprovemenl or olhpr righ4o�-way u5e <br /> h��elo appLea for an0 turt�e� agreCs lo remove=ame u,�on nobce <br /> � � Irnm I�e Giy ana Io replet¢ Oubbc pwperty tlamagtd IhereDy. I <br /> � DEPARTMENT APPROVAI.S I <br /> � i <br /> n :�L1� ` � <br /> SEWEH (/ �� �,' �`�S �. COMM�fLCnl�ONS I <br /> iy- (� 'J ^ , I <br /> DFRINAGE �.1 iRAifiC i <br /> I 1Q4� �' ... ���� _ I <br /> I 1VATLR ..RAN���� SIGN�ip�1r OI APPIT,�NI I <br /> I STN[ET ...�....'��V� ��k:�i� PO/G��Z � � ,� � _ _ � <br /> � �a zA� �,... <br /> � ,/-'� �� � .,�� i r ��-��.e�—_l��T .. ��i�y _ i <br /> 1,:,;� � _ ,��--- <br /> l ��Y 1,.,�'. 4 � — _ '._ I <br />� <br />