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. <br />�eve: ett <br />laPPLICATION FC�R RIGHT-OF-W,AY US� PEFiMIT <br />�� TyPe or Prmt cleF�dy with mk <br />PRESS HARD - YOU ARE MAK"JG COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO.��� � %�S <br />APFLICANT (UNDERSIGNED) AIJD FIRM REPRFSENTED, IF ANY: <br />i1EREBY APPLIES FOf� PERtvIIS310N <br />AT THE FOLLOWING LOCATION �nyZs�- %'�� v'"- s� � ��`r ��� �� � /�1JT <br />GRA'NING (WOAK TQ 9= DOvt) aR THREE PLANS ATTACIIED: <br />PERMIT IS VALID FOFi �O D!a`YS <br />COPY OF THI5 APPLICATIOPI TO B� POSTED <br />�,7Pd JOB3ITE. <br />�ALL FOR QNSF+ECTI!Dfd �59u�81 1 <br />24 HOURS BEFORE Cf�NSTRUCTION <br />DEF'ARTMENT APPROVALS <br />DRAINFGE <br />WATEP .',:, � - . <br />STfiEET <br />COMMUNiCAtiONti <br />"_ ;TlRAFFIf. <br />1 <br />PLANNMG <br />1���. c%, _ .�cy� ,!'_ . . -,� �u/!( $'; "� <br />APPI70VED yOR CONSTFiUCTION.'� oATc. <br />FPPflUVEDASCON TRUCTED DATE <br />DRIVcWAY SECTION <br />�j I_� LIP <br />30" _ --_..�.30� <br />The untlersignea owner hereby agrecs to hold an0 save harmiess <br />the City ol Lverett Imm any and all claims lor damages. co,t;. <br />ezpenses. or canses ol action Iha� may anse because ol ins�alk'�on <br />an� maintenance ol ihe imp�ovement o� other ri9hl-ol-way use <br />here�o apphe� lor and lerlhe� agreCS to ramove same upo� �ubce <br />lrom Ilte Ciiy antl la replat= V��blic p�operly dnmagetl Ihereby. <br />l/ �}�/y ��fi�K �;r�'i�,'/ <br />��./ /�`�..�l�L'^f ti �J���-���� i <br />SIGNAiURE OF APPUCnNi <br />G'D LiJ' X � /c/ <br />ADDRE55 <br />K �`k /� ,.( 9���33 <br />U27-04-i � <br />TELFVNONE NUl.1BEA AITEFNFT[ <br />�_,�FERGI�dCECOf'; .ee — — i978 <br />