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- . .., . <br />everM <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vTYpe or print ckuty with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS ,7 <br />EVERETT, WASHINGTON PERMIT NO. �v <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br />HEREBV APPLIES FOR PEFiMISS10N <br />J <br />AT THE FOLLOWING LOCATION � S �� ���- �/�i/ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�" <br />� <br />s;� <br />1� <br />� <br />a�� <br />�� .�- <br />�� <br />�� � �,. <br />� ! � <br />i <br />� �G� � <br />.� , <br />PERMIT !S VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTEp <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SOVFP <br />OR�IN�GE <br />V:AILH <br />DEPARTMENT APPHOVALS <br />f.0A1MONIC�� WNti <br />1RRffIC <br />PLnNNING <br />�G�t� ..�!l,P r�,..._ � - ,�- - �f U <br />VED POR C JST UCiION e <br />��_'� <br />APP A.. O.lSifiUC . DnTE <br />C'.Q��i,��i�.�l.11'Ji`.I�/vS �r�l��_T <br />DRIVEWAY SECTION <br />� � <br />r� +I'� LIP ��� <br />I 30" I I 30" I <br />The untlersigned owner hereby agrecs to hold and save harmin,s <br />�ne C�ty ol Everell Imm any nntl ell elnims br damages. cr.rds. <br />etponsu^, or causrs o� ncbon ��nl mny anse bncause o� mstall0l�on <br />onrl rnamicnnnce al Ihe improvemrnl oi o�her riqb4ol-waV ��sr <br />m�n appWd lo� dn�f �ur�hc� nprees to �rmavc same upon nolicr <br />hnni Vm Glv ������ �o �nVlncr puUhc p�upc��y tlamagcd ihcreby <br />}�;� j��,•� <br />c���� �. _ --- -- <br />sicr+q�une oc nni�ucnrvt <br />�=� /co 2 /v�^ �1 - <br />Pn[lli[�� <br />`>,tiu/fa�/S/t C�-�J. �j Zqo <br />Crtv ZiP <br />S(,�_?/71 <br />1EtE�'MONE rvuMB[�1 �y- nttEnrvA1L <br />/_ �—� —_ <br />1978 <br />. <br />