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everetl <br />� APPLICATION FOR RIGHT-OF-WA'f USE PERMIT <br />Type or print cleady with mk <br />PRESS HARD - YOU ARE MAK�NG COPIES <br />PUBLIC WORKS PEHMiT NO. C I– I(o <br />EVERETT, lNASIiINGTON <br />APPLICANT (UNDERSIGIJEb) AND FIRM REPHFSEN,TED, IF ANY: ^ -- ^ <br />HEREBY APPLIES FOFi PERMISSION <br />AT THE FOLLOWING LOCATION L ���i—k <br />805� - S3"t^ Pc , �• <br />DRAWING (WORIc TO BE DONNIOR THREE PLANS A <br />/� � S.GJe <br />/a s: t3 <br />� <br />� � L 2 <br />�✓ere71� le�G. %��?O,� <br />ACHED: � <br />;. <br />1 <br />/]ONn /hi'GD /02 5J721,cT d �.O.L�'. S//tKi /�Gi� //1/i32UJL�%i4.•�T$ <br />1 <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-SB 1 1 <br />24 HOURS BEFORE CONSTRUCTIC�N <br />SEWEP <br />DRAINRGE <br />WATER <br />?iREEi <br />DEPARTMENT APPROVALS <br />LOM6IUNI';A110N5 <br />iRPfRG <br />PLANNING <br />� �// � $F / <br />APP � R O T GT' N 7 paTe <br />_ � �/ C.� <br />����' ---�/- � �:1 <br />APPROVEDAJ ONSTRUC�E� � �ATE <br />CO�ISTRUCTION/AS BUILT <br />� <br />ORIVEWAY SECTION <br />I" LIP _--_�� <br />30"�I� —.— -.�.3� <br />The un0ersignetl owner hereCy agreEs to'�n�tl a.�tl sr.ve hermless <br />Ihe City ol Everell Irom any end nll ola�rm: lor Jameges. costs. <br />eepenses. or causes ol acticn Ihat m:ry a•is� becd�se ol installatlon <br />acd mdinl¢nan[e ol �h2 imPrOvenien; ur Oihe� ughl-ol-way use <br />herelo applieE lor anE WrIM1e� ag�ees •O remura same upon nobcc <br />irom �ho C�IY antl m reptace public �:oparty Camagea t�ereCy. <br />L,_-�_,�� , �,�'��� <br />��-- �/. �=/��-. <br />ui. <br />� t" <br />iEL NENIIMBEN /�UERNAIE <br />�nr�-�� — <br />onrE <br />