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, _ <br /> � .� . ,• - . <br /> � . <br /> �. - <br /> APPLICATION FCrR RIGHT-OF-W�1Y USE PERMIT <br /> � �fppe or print Cleady with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS �O ��Q <br /> EVERETT.WASHINGTON PERMIT NO. <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: � 'y� � �� � ' �'� — <br /> HEREBY APPLIES FOR PERMISSION TO G C�n.'�T�C �S F�T ASPI-}'�L+T�L� <br /> AT THE FGLLOWING LOCATION ��0� �" R� � �P � W i — <br /> GRANiING (WORK TO BE DONE) OR THqEE PLANS ATTACHED: <br /> � . <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED �_ i" LIP <br /> ON JOBSITE. I <br /> CALL FOR II�Si�ECT10N 259-8�1 1 �30 �t' �{�30"�� <br /> 24 HOURS BF.FORE CONSTRUCTION 7he under5igned owner hereby a9rees �o holA antl sevB harmless <br /> the City ol Evere4 Imm any end all claims lor damages. costs, <br /> eKpenses,or causes ol action ihat may arise because oi installalion <br /> anU maintenance ol ihe improvemenl or ot�er nghbol-way use <br /> ' � heruo apPbeO lor antl Iurlher agree5 lo remOve 5ame u0on noI¢e <br /> Irom the City anU to replace pubuc proDerty tlamagetl tnere�y <br /> DEPAPTMENT APPROVAiS <br /> SEWEP � COMMUNICATIONS <br /> ORAINAGE TRAFFlC <br /> J,(1 ��1:�,��C - /( H�.-�-�._- <br /> WATER PLANNING ` SiGNAtURE OF AFFLICF <br /> /L�/Z / �/��`l .D�� . ,� n- <br /> STREE ' �/•OD� 55 p' <br /> �� Q� �l��.C/ 5U i ��P�, ��� �'fD �--�0 <br /> PROVED R CON TR C ION /A E Xc�ry� � % `J�� Z�P ��, <br /> Y� <br /> � TELEPHONE NUMBER A�iEPNPiE <br /> /.3�0 �( 3 - �5- � -- <br /> S CON �H DATE "� D4TE ` <br /> `� \ <br /> CONSTRUCTION/AS [3UILT ,E� 1978 <br />