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everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or prinl cleady wtlh mk <br />_� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON PERMIT NO. � <br />APPLICANT (UNDERSIGNED) A�:7 FIRM REPRESENTED, IF ANY: - ,�' � � L— <br />HEREBY APPLIES FOR PERMISSION TO �� ` �� � ' � � � -�+��-- <br />7 <br />AT THE POLLOWING LOCATION � �i r�'i �/�� i� f �-""t /� r r �I �1 F <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� �� �/5��`I I <br />i IVL'In 76 ��:P��7e� . <br />• J. �SCV1� �JYiart��$'/.. oKCv� V�'F��weif ; IS nr�i�r��va�.�.;( 1'1'.F�i <br />� I <br />7 Whnp ��\��Y r�"-�] <br />• <br />i• bVl�c/-�$�-+nQ�i I„p MVCaGO�n�:1Vc.� ?�I.' <br />• ?� Ne.i iS t��-��,..-�c <br />w, c�.�F <br />�.�-�� Trn�,(,'c or u�rosr f,c,.-, wo�l..,ar¢ os /��/o}T <br />j W��a'�it �e-..���/rr�e.6 n/��.;5/�<�(.���'/�c. L.....N�e.o<'�� <br />/ n ys. /�e v u.�. , <br />4 Fi t^'pia«a.c �..II'�G� i�^.. G C.o� �rn� wn <br />e� f ��� 0 � <br />S�o�lc( � 60,. Gn n G�o.,, ���j w o.-.f n•6 /..a <br />L �� �a i ra.o„4 <br />%� W�.� tv�si-i...� Givi.r...n.r �y%e.� ) '^"N <br />$i VC� � 7'vvn G..l��sr�., PYiir.Y �Y��. /�n`kif �t�? <br />�jG_ 3-�`!-�9 <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPI.ICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSRECTION 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />s[wcr, - <br />DFniNnGE <br />NPIEP <br />S11iEET <br />DEPARTMENT APPROVALS <br />con�murmcanoNs ' <br />PLANNING <br />�VPROVEDFOR GONSTFUGTION OniE <br />nvvr�ovE� n:; r,oN.StriuGr[n onre <br />Tl,;� sr,o,�,� le d��r,�l� <br />DRIVEWAY SECTION <br />j I" LIP � <br />�30 �_30„ <br />The un0ersignetl owncn c�reby agrees to ho10 and save harmless 'i <br />the Gty ol Evmeft imm any and all cleims br Gameges. cosis. I <br />c.penses. or cruses o1 nGmn thal may anse because ol mstailaoon <br />nntl mainlenance ol Ihe �mprovement or ol�er nghbobway use � <br />bcielo appLeG lor and Iw�her agree5 Io remOve same upon nolitt! I <br />Irom t�e C�ty an0 :o ieplace Ou�i�c property aamageC t�eieby. <br />i li <br />��-� , / <br />n ``\ /// �%X('� i <br />��__ .. ...� \.. P41(�rLl� -./ 'i;� /U . I <br />..... SIf�HRiUAE Oi APV\I AHt ).-/ q I <br />� � � .rl� i,._•�'t�"% 1 <br />ROOREtiC <br />��i7Z � / �r•z-C ' /! Zt��L <br />C�Tr zio <br />7- 7r� 9 Y <br />�ELEVr�OYE NUA�PC� qLiC�NP E <br />c;_ _ _ . . _ � 1978 <br />