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evcrclt <br />APPL.ICATI()N FOR RIGHT-C��F-Wqy UgE PERMIT <br />j <br />� Type or prinl cleaily with ink <br />I Ph'ESS HARD - YOU ARE MAKING COPIES <br />I PUI3LIC WORKS . <br />EVERETT,WA3HINGTON <br />� AF'PLICANT (UNDER:>IGNED) AND FIRM REPRESENTED, IF qNY: �.. � <br />� <br />� HEREBV qpp��ES FO? PERMISSION TO ��� ��/Ltii <br />IAT 7HE FOLLOWING LOCATION <br />I <br />�'02 9T� <br />I DR��V1'��(', (yyORK TO BE DONE) OR THFtEE PLqNS ATTACHED: <br />I <br />i ;�� �� ' � <br />i � ���uk�rn <br />PERNlIT IS VALID 1=ffR fai2 DqYS <br />COPY OF TH(S APp��CATION TO EE POSTED <br />ON JOBSITE. <br />C��� �0R IAISPECTION 259-881 1 <br />24 HOURS BEFORE COfd,�.,TRUCTIOiV <br />APPROVE� AS CONSTRUCTED <br />�AiE <br />PERMIT PJ0.�3�T <br />�� c _ <br />. s_ <br />DRIVEWAY SECTION <br />� --- --� <br />�_ �,� LIP <br />I�3� �3 I <br />yl <br />The untlersignetl owner hereby agrces to hold antl save harmless <br />Ihe Ci�y o� Everett trom any antl all cRims lor dTmnges, cosis. <br />e.penses. or causes ol �c�ipn iha� may ��ise because ul mslallahon <br />an0 mamiennnce ol Ihe improvemenf oi othe� n9ht'of-way use <br />nereto appbutl lor antl tunher agroes lo remov,x ;��ie i�p„� nohce <br />irom Ihe Cq� nntl lo repl�ce pubLc proper�y tlamagid I�ereby, <br />������ <br />_..........., i v. .u�vuC \N i <br />7/3 /�7 S, .G3i�j-i�111tri,�ly� <br />noo�vess '�— <br />/ <br />cii���)�l7— �f'�"�'Ciy'! <br />^_ —�DQ ZIV �� <br />�SJ <br />1ELEPtIpNE Nl M1IH[q — <br />�� JD�� H�iEPN9iE <br />OA)E /� <br />.� . - _--_. ���%�i <br />