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<br /> � R,�PLICATION FOR RIGH�-OF-WAY 6JS� PEF�NIIY , �
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<br /> ?RESS HARD -YOU ARE MAKING COPIES �� /a � .,{��
<br /> PUBLIC WORKS PERPdIT NO.�' '��s
<br /> EVERETT.WASHINGTON � �``
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<br /> APPLICANT (UNDERSIGNED)PND FIRM REPRESENTED, IP ANY: � �;Y�
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<br /> HEREBV APFLIES FOR PERMIS��ION TrJ ,y,'�
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<br /> DRAWING (WDRK TO BE DONF.) OR THRE PLANS ATTACH:.D: ' ,f�
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<br /> �ii DRIVEWAY SECTION
<br /> I� pERNCIT IS VAL1D POR 60 Di�YS !.---_ -- -'�
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<br /> I COPY OF THIS APPLICATION TO BE POSTED i" LIP
<br /> ON JUSSITE. 30" _L3o_y�
<br /> CALL :=OR INSPIECTIOId 259-�889 1
<br /> 'ltl HQUf�c BEFOAE CONSTRUCTION ?he undersigned owner hereby egtees Io holo Bnd 5ave harmlcss
<br /> � ihe Ci1y ol E�erelt Irom any and all claims for tlamegeS �%`�s
<br /> ' e�penses.or causes ol ection t�al may arise because ol�.nsL�llat;;n.
<br /> and maintenence ol ihe �mpwvement or olher ri9hl-obway ..
<br /> hme�o OpOhetl �o�Bnd�urthe� a9ree5 lo�emove sHme upon nC�icc
<br /> ' ��G��i �ry.' Ci�y lntl 10 tnpllCl' pubLL (I�OPC�Iy tl3�n�[]Ut1 «�uiCby.
<br /> DEPARTMENT APPROVALS 7
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