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i � <br />� everi❑ <br />Q APPLICATi06� FOR R1GHT-OF-WAY USE PERMIT <br />♦' Type or prmt clearly with mk <br />PFESS HARD - YOU ARE P.4AKING COPIES <br />i PU3LIC WORKS <br />� E4ERETT, WASHINGTON PERMIT NO. / ' , - ` �! � <br />I _ <br />iAPPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: .' �',-- � l. '��. i. <br />� HEREBY APPLIES FOR PERMISSION TO �-� � 1_�;--.� .,'U , G-� r'+�.: C 4•����J <br />i AT THE FOLLOWING LOCATION � i_ / '�' /-I — /� / /__ � � <br />j DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />t <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR SBUSPECTION Z59-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />�, <br />sEwEq <br />OFAINAGE <br />DEPARTti1ENT APPROVALS <br />Con+n�uNicaritiNs <br />ORIVEWAY SECTION <br />r� f I" LIP <br />L30''� �30" <br />�- <br />T�e undersignetl owner hereby agrecs to �oltl and sovc harmless <br />Ihe Cily of Evere�l Irom any antl all Gaims lor damages. cosls. <br />espenses. or causes ol aclion Ihat may anse �ewuse ol inslallalion <br />antl mamlenan[e ol Ihe nnprOvemCnt or Ol�e� righl-ul-wdy u5C <br />bereto appiietl lor antl lurihei dgrees lo remove same u0on nol¢e <br />�rom' Ine City an� to replace pubb� pioperty tlamaqetl Ihere�y. <br />ranrric.�! / . ` <br />: \ <br />L`i. 1 ..\ i 1 . 'il 1 '. <br />�'LNNNING"�� SIGNRiURE Of APPII�qNi I <br />riL� �,�'% � <br />APPROVE� FOR CONSTRUCTION� �- . .� rE <br />APVROVED �5 CONSTqUCTED 041E <br />_'_ �__ . --_ ._ ______ <br />1978 <br />