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i - <br /> everetl <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> I � Type or prinl cleady with mk <br /> PRESS HARD -YOU ARE MAKING COPIES � <br /> IPUBLIC WORKS PERMIT NO.� <br /> EVERETT.WASHIfJGTON -- — I <br /> APPLICANT (UNDERSIGNED)AND FIflM REPRESENTED, IF ANY: ��� ������yf,D GU�� <br /> �A/C�IQES`S � �� <br /> HEREBY Ai'PLIES FOR PERMISSION TO � <br /> a.�J � �ic �P �T- ul�? - <br /> . sll2 23 �_°�� �` <br /> AT THE FOLLOWING �OCATION . <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i )t'/�9�'Xi�lu/u I�R���ul�9Y tv�bTh�D�I �u���� k�G�t Z-dF-ul,4y <br /> t �S �� ' <br /> �.. <br /> I <br /> i <br /> � <br /> DRIVEWAY SECTION I <br /> � --� I <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED i � ��P 3o I <br /> ON JOBSITE. l so" I , � <br /> �CpLL FOIR INSPECTION 259-881 1 � <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner nerety agrees m ho10 and save harmless <br /> the City ol Eve�eU Irom any and all claims lor damages, cos�s. i <br /> expenses.or causes o�action;hal may arise because o�installation <br /> and ma�nlenance ol :he improvemeni or other righLo��way use <br /> . . . here�o apP�'�tl lor and Iurlher a9ubl c'oro er�l e damagetl�lhe2by. <br /> I ' � Irom Ihe City an� to replace p � � Y <br /> � <br /> i DEPARTMENT APPROVALS — <br /> � <br /> I / GON.MU�IIC ION <br /> I SEN'ER <br /> � , �� �� ' ,I �.�o <br /> TRPFF �lYZ- S�''�S ✓�+^ <br /> I ORAINAGE _ <br /> � SI.�NAtURE O� �LICANi <br /> P NNING �CO� � /� � �'✓C S� . SN/ �e C <br /> µ'qT[R / J <br /> � AD��'E55 .y�.� �G�O� <br /> �� STRFET � �/e�`Q � 1 Z�� <br /> �� �h / 3 — ��,� <br /> ,� ^ 337 y�o5 .,�,EA�A,� ; <br /> q p EO OR CO ST CTION O rE�ErHcrvEr�uM6E�v I <br /> I . � .�,`�y �= �� l 9 J£s' � <br /> � e�. � � <br /> parE <br /> DATE <br /> � Appq CONSIRU EC 1978 <br /> CONSTRUCTION/AS BUILT �EE <br />