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=1 :T�M-.'_��' � . . � . . _ <br />• <br />• .1 �� <br />- everen <br />Q r4?PLICATION FOR RIGHT-OF-WAY USE PERMIT <br />�' Type or print clearly wlih ink <br />PRESS HARD - YOU ARE MAKING G-?I?S <br />PUBLIC WORKS Cx � <br />EVERETT, WASHINGTON PERMIT NO. " 0 � <br />APPLICANT (UNOF.RSIGNED) AND FIRM REPRESENTED, IF ANY: /!�I � �� � � / �J // '�7 �G <br />HEREBY APPUES FOR PERMISSION TO A/(/ G��!� //� � U IL � '� / t/I YL= <br />AT THE FOLLOWING LOCATION "� G� T4 /YI �4 �/J G/l �}��� i= �` V�A S/' <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ��� 4- �-�� <br />.�j'�, �,: �-=�--z.� �t,, �� �,,.� �-,� <br />G`� r,��-�--��- <br />PERMiT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATInN TO BE POSTED <br />ON JOBSITE. <br />CALL FOH INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />ORAiNAGE <br />WATEH <br />DEPAFiTMENT APPROVALS <br />fOMMUNICAilONS <br />FLANNING <br />STREET <br />� , ��.e%� �O — 5 �(i <br />PPflOVED FOR C RU TION o' <br />� l��/j' �-%%-�j <br />—;�rnaoveo ns coN�;roi ir,T � en,e <br />; �_,,c��—�� <br />v <br />DRIVEWAY SECTION <br />I" LIP <br />r30,►t� �30" <br />Tne unCersignetl owner hereby agrees lo I:old end snve hermless <br />Ihe Cily ol Everelt Irom eny anC all claims lor aamages. coste. <br />expenses. or causes ol action Ihat may Trise Decause ol mslallalion <br />antl mainienance ol �pe .mpwvemenl or olher nphDol-way use <br />hore�o appLetl lo� and turlher agree5 lo remove sFlme upon nobce <br />Irom t�e Ci1y an0 lo replace pu01i: pmpwly Onmage0 t�ereby. <br />�%1�r� �/��, / <br />S�GNALIIRG O� APPLIGN� // `—_"_`~ — <br />�D�- T ���t �.e,9 c� <br />AO�RESS <br />fr��F 7� W�s h 9�.2a3 <br />��„ <br />� ; 3-8�ry — P-�L�,�� t,��w %`�`/o�i/y <br />iELEPNONE NUMOER AUERNAIE <br />