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. <br /> 1 � � - - . -.� - .. . , r <br /> evereft , <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS HARD- YOU AHE MAKING COPIES <br /> PUBLIC WORKS <br /> � EVEFETT,WqSHIMGTON PERMIT NO.�7/ .L�— . <br /> / <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMiSSION TO ��ST/�_� L s/��5����_��,I//.—�i )�J/ <br /> (Fa`K/ <br /> AT THE FOLLOWING LOCATION S/I(o Z j �� ��� �a- �((� <br /> i —' _— <br /> DRAWING (WORK TO BE DONE) OR THREE PLA.RkS ATTACHED: <br /> P,E'.Q P,��T�f'.�qtl�RE�.l1rs <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOFi 60 DAYS � <br /> COPY UF THIS APPLICA�ION TO BE POSTED ' -- � <br /> ON JOBSITE. I 1 i" LIP <br /> CALL FOR INSPECTION 259-88 'i 1 I�30 — ►{.30��1 <br /> 24 HOURS BEFORe CONSTRUCTION <br /> 7he undersignmtl own�er hereby agrees io holtl antl save�armless <br /> L'rt Cily or Everelt irom any and all claims lor Oameges, costs. <br /> � eap:nses,or c�i ses oi action Ihal may anse�ecause ot inSLllabon <br /> ana maintem .u± ol I�e improvement pr other ngh4obway use <br /> M1Cr210::pphetl 10'antl icrther �grees�o remove same upon nOi¢C <br /> DEPARTMENT APPROVALS 1fO"' ��"' Cny an i �o rep�aze pub�ic property a�megetl mereby, <br /> sE1vEn COnnduNlc ioNs <br /> pPFINAGE LRAffiC <br /> WAlER PLANNING IGNA UREOfAPPLICANi � <br /> STREET '"-�• �^ ��� <br /> AO�nE55 <br /> K�r1<1cL;r.c� ,�nlr� Q�033 <br /> Ciiv ZIP <br /> n o e o c r ioN o�� ��Z2.-Q5-fy. <br /> iEIcPMONE NUMBEH qLiERNPTE <br /> APPFOVELrASG4)NSTRUCTED DnTE DarE ,/� /�� <br /> CC�tv�STRUr,TION/AS BUILT FEE <br /> 1578 <br /> . :,. <br /> * ....y. . , � .�r <br /> „ �:�: ,..� � . <br /> � � :� ;.d . . .� . .. �,..... . „ <br /> ... . . �. :;, ;..��;. ,.:.:41. . . ' <br />