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r� �.�'i`fi <br />ercrell <br />� A�WLICATION FO'R RIGliT-OF-WAl' USE PERMIT <br />Typa or pdnl clearly with mk <br />PRESS HAFD - YOU ARE MAKING COPICS <br />PUBLIC WORKS c�� <br />EVERETT, WASHINGTON PERMIT NO.-� � � -- <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, I� qNY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION /� yis - 9�v�'� S.E E�'�%���r- l J_��70 S� __ <br />DRAWING (Y/ORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALISf FOR 60 O�AYS <br />COPY OF THIS APPLICATION TO BE POSTEU <br />QN JOBSITE. <br />CALL FOR INSPECTION 2'�9-881 t <br />24 HOURS BEFORE CONSTRUCTION <br />UEPARTMENTAPPROVALS <br />s'6vEr— <br />DpAINPGE <br />WA-[fl <br />S,�EE,-- — <br />COU.MUNICAiION$ <br />TqAiFlG <br />PLANNiNG <br />.s �iun_r <br />DRIVEWAY SECTION <br />tl'� LIP � <br />�30�- �—� I 30�� <br />---r�.. <br />Tne undersin�ed owner pereLy agrres lo nolJ antl save harmless <br />ihe Cny ol Evere�� Irom any antl ail claims lor tlamages. msls. <br />e>penses, or causes ol action t`at may anse ��cause ol insiallaLon <br />an0 rnainlenareC oi I�e impmvemenl or olher righl-o�-way use <br />M1ere�o appLed �or and Iurlher agree5 �c remove samc uVon nolice <br />Irom �he Giiy an0 �o replace Ou�Lc pmperty Oamaged Iheie�y. <br />�� T � .i%(ZG�- (� <br />�' JY1GNAlpiiE Of APPLICANI <br />/x'� ��/y <br />n'oc�vess <br />/�j/l,C��n/� GcJ/J %�L�-Z3 _ <br />Cllv ZIP <br />�.�7- D/%S' <br />tELEPnON[ NW.IpE�� NLTERNPLF. <br />,,E <br />