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everelf <br />e <br />APPLIC�4TION FOR RIGHT-OF-WAY USE E MI'T <br />Type or print ckarly wtl0 mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />PERMIT NO. 79�96 <br />APPLICANT (UNDERSIGNED) AND FIqM REPRESENiED, IF ANY:_�A�.� �'���- Ij,� <br />1 <br />HEREBY APPLIES FOR PERMISSION TO- 11.iS"iA -7_��/e1.0 �1C /�c p�p A j'/-�I ��j �/t7 / <br />-f <br />AT THE POLLOWING LOCATION _ `J ! v I I�C/ � f m o r e A LI E� <br />DRAWIHG (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� j1� SI p� U161��C' p' <br />, v R6AJTi�lc� OiPdP.�R7"y TO B� /�2PRdV�� 7a <br />� /�Ra t/i1S.�" �'d,P �.�b,�s �r-.P �tJ ~ <br />_ <br />�� Ss9F"�ty <br />...� _. <br />.,..,�;,-- <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-8B 1 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />�� <br />� <br />DRIVEWAY SECTION <br />� � <br />I" L�P <br />� 30" _ I 30" <br />�1• <br />The un0ersigne� owner hereby agrees to hold antl save harmle55 <br />Ihe Cily ol Evereli Irom any and ell �laims lor Oameges. costs, <br />ea0ense5. or causes ol achon I�at may anse because ol instaliahon <br />and mqint�nance ol �hP impiovemen� 0� other nqhl-ol-way use <br />nwaio eV1�br0 lor xnd lurin�r agrees to remove same upon nohce <br />Irom �ne Gly an0 to rep�ace pu�lrc pro0�rty damagetl t�ere�y. <br />. / � ^ <br />��1� p�}M�tx R �� �v d �� ��/- <br />�J'vl�� Pi� ��� <br />f E �+.F.�H o'1"(` �l��'/nr�� <br />-_..__ � V �" <br />pAiE <br />�%-`� �L ��/''�m/ke S. �>62(�iL <br />oiv 2io <br />o'd7-i(od Q <br />TREPNONE 1vUM8EH p�1[qryq�[ <br />..�'TIG!';"Tl�r.l;.r,��r��� � --- — <br />"` t978 <br />