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i <br />"veren i <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMI7 , <br />Typ� or print clearly with ink <br />PRESS HARO - YOU ARE MAKING CpPIES j <br />PUBLIC WORKS j <br />EVERETT,WASHINGTON <br />PERMIT NO.� � 1 �1 i <br />APPLICANT (UNCGRSIGNED) AND FIFM REPRESENTED. IF AhY: ��%���� I�%���� n�✓ ��K-C� O/�1C (�f�/�./Ji �, I�,IG, i <br />riEREBY APPLIES FOR PERMISSION TO� � XI-T�/JC� �SVJ�AL7 U�I VE�/UAY <br />�1; i� . 7 � <br />AT THE FULLOW�^!O LvGAiION_�� `��� <br />DRAWING (WORK TO 9E DONE) O!i THREE PLANS ATTACHED: <br />. <br />PER11diT IS VALID FO[� 60 Ds1VS <br />COPY OF TFI10 APPLICATIOv TO BE POSTED <br />ON JOBSITE. <br />�ALL F�i3 INSPECTI�IJPI Z59-i389 1 <br />24 HOURS BEFORE CIJNS�'RUCTIQN <br />sewei� - <br />DEPARTMENTAPPRO\ALS <br />GOMMUf+ifAilpNS <br />OflAINAGE n� TRAFRp <br />�` L <br />WAiER -�v� �1 . �,: pLANN:NG . — <br />� , , �,. <br />,:� ` `, <br />_ ..t) ' ,. <br />� ..ei � ,;'i,'.7.. <br />'".• X�� <br />���� '.1 <br />. a ` ' <br />qPPR7�ED AS CONSFqUCfED ontE <br />liEFERENCE COPI' <br />r �- <br />: ,q, <br />DRIVEWAY SECTION <br />f'--- ----� <br />� jl" LIP <br />� 30" I �--�30" <br />r --+7------- <br />Thc undersigned owner hereby agreea lo holtl and >ave harmiess <br />the Ciiy ol Evuret� irom any an0 ali claims lor oemages. cosis. <br />c.penses, or <auses o� action Iha� may arise bec, use ol mstallaDon <br />an0 nwintenance ol the improvement or other ngh��ol-way ise <br />here�o apphe0 �or an0 lurther agrces lo remove samc upon nol¢e <br />Irom I�e Cny ontl la �eplace pubhc prCO"��Y dem, getl �neroby, <br />� � � ` � � ' , . �-� �e V (� � <br />`�'���1��(� � : u,i h- .0� <br />Si NAiURE f GVV�i^ANi <br />,:�:.'0j"- � r/��l�/ 99 <br />AO�RESS <br />Ci>/tl�7ni/�S , J1A. ��.YO <br />arr — zir — <br />% J/-:�� Z"L <br />�E�G�'HONE NUAIBER A�fERN4iE <br />�d � /.�.�..._C � / <br />eniE — — <br />ree - 1978 <br />__ ��' <br />�� <br />