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everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType ar prmt dearly wif� ink <br />PRESS HARD - YOU ARE AIAKING COPIES <br />PUBLIC WOFKS <br />EVERETT, WASHINGTON PERMIT NO. ��� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: _ <br />HEREBV APPLIES FOR PERMIS5107J TO �� � L�v L� �,�.��_ <br />.h <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� � 'i � �� / �Cit/j r iC' C:' %�C'CJ � <br />� � `° N f1 � ,<.' L i �/ �C � c ,Cs L � <br />L^� � � � i �✓L- <br />i\�/L is�%'r�iQ� <br />w <br />r <br />��l�e/.� t a c-� � <br />� i L L=- �-= /-I /: .li <br />�' <br />� <br />f/V L- / /V � f.��' �1 I �\�L % �-._ <br />RERPIAIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL F[2R IE�SRE�TI�W 2543..g� 4'! <br />24 HOURS BE�Of3E CO�lSTRUGTIOiV <br />DEFAHTMENT APPROVALS <br />ti! N! H COMMUNiL r,; u�... <br />nnniNnGE <br />FLANNING <br />AVPROVED FOR CONSTqUCTION DniC <br />APPROVE� �S CON��RIJCTf_0 nniC <br />DRIVEWAY SECTION <br />� � <br />� j I" LIP �1 <br />L 30'�_ �� 30", <br />i' <br />The untler5lBneG owner hereDy egrces to �oltl anA save herminss <br />Ihe City ol Everelt Imm sny anE aV claims lor damages, cosls. <br />e.pensei v.-r;uses of acnon tha/�hiay anse oecavse of instaliahon <br />aru� mainlc�an�e o� the improvemen� or o�her ngnl-ol-way use <br />riorelo eppbPd lor nna IWthe� 2g�ees lo �emnve sdme upon noliCr <br />hp�n iM1c Gty ana lo �eplacn pubLc n���erty tlPmaged �heieby <br />. L <br />/ I <br />�-�-t� .�C�� <�/�__� i;_l� .,`"�' '. _ <br />9GNRTUFE( OF AP�P�LIC)AN�y�/ �yy .1 <br />� \J�' /•_ ) ` /` /\ � �1 <br />PDOA[55 <br />/7!'.�',c"vs' ✓/ «� y"�:? 7 L . <br />[ITY pIP <br />G,s�=7/�S �.�; -7�f'i� <br />1[LE�'NONE NU�ABE� 4LIERNNtE <br />/�- 'J -% j <br />DAIE <br />�EE �9�6 <br />_ �1l-',�.�_� <br />