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everett <br />;.:�PLI%ATION FOR RIGF;T-O�-WAY IJSE PERfUii q' <br />Type or print cle.vly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS - <br />FVERETT, WASHUfGTON , � �� PERMIT NO. � �-��- <br />��. APPLICANT �UNDERSIGNED) AND FIRM <br />HEREBY APr'LIES FOR PERMISSION TO <br />IF ANY'. �/L�� <br />O <br />Og ��7'7 N/ v o <br />AT THE POLLOWING LOCATION � v"' — <br />� 1.`'Y/ �''-�' �- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: !1'� r��� /� <br />� �rrrr � � ��-r-r�� �� y � <br />//j-�v; o-� � � �!� <br />� �� S ;� ' ���,�; � �/z�.� e <br />�,� � <br />��s����� � ���; ��Q �s �;-� (al�+�s z -��> <br />� �:� � �m��� �� �� -�� � �, � <br />/�� G1'✓� � __---- <br />,� � � ��� _ �� � i�� S�-� <br />-/a � , <br />� , _� , ` � �� <br />� <br />� �/,� .' ��6� S �� .�2�� �.%Nl -��G �`� � <br />cJ / c_, <br />PERMIT IS V'A►_ID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO SE POSTED <br />ON JOBSITE. <br />CALL FOR INSi�E4�TlION 259-881 1 <br />24 HOURS BEFOF�E CONSTRUCTION <br />tiEWEP <br />pRAiNAGE <br />DEPARTMENT APPROVALS <br />COMMUNIC����� '. <br />TqAFFlG <br />PLANNING <br />SiREET / <br />a euq'�.x/''V --. 2.5 Ba <br />A� PR VED OR CONSTRUCTION D E <br />� L <br />�% � . <br />.�,� � < < . G�,�-----.�.��i/�� <br />APPROVED AS CONSTPUCTED ��TE <br />ORIVEWAY SECTION <br />� �i <br />I" LIP l <br />I 30� � _�_30� <br />I� <br />The untlersignetl owner hereby agrees lo holtl an0 sevo ha�mics: <br />Ihe Cily ol Everett Imm any an0 all claims for tlamages. cosir <br />o.po�sns. ur causes o� aclion IhOt may arise beeausu of installaln_:'. <br />.r•,l ..�mV.,•arr,. ol Ci�� mP�wornvnl or uthei r��tl�bol-v::rv .. <br />i <br />. �i..�.. .,�,�L•.. �..➢=.r-. Jiy��.�...,� <br />/ . <br />'�..�L' / �Q,ni�'l�c,r.c,��.�,v�______ <br />NATy 0`^ PIICA T . - <br />,�?F� 1'E P_ . � _� :-� � c ,, ._, ��,: ; c - - _ , -.- <br />/ <br />a0DAE55 <br />•" . ._:i:.'.�.��/J ,.iJ'� ,.'A-�:.�J Z <br />Cilv 21P <br />_JJJ - �S�`'J - ��i'/ -� `�G �= <br />iELEPMONE N IApEH ALiERNfiE <br />G°� �' Q��% <br />DnT[ ' <br />_ .. _ _ _._____. �CiIJ <br />__� _ _ _ — ._ _ J L <br />