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en <br />, APPLICATION FOR RIGNT-OF-WAY USE PERMIT <br />V Type or print cleerly with ink <br />PRESS HAFD - YOU ARE MAKING COPIES � <br />dLIC WORKS /) / <br />JERETT, WASHINGTON PERN��T NO. v <br />.�G., � �y� 'r <br />APPLICANT (UNDERSIGNEO� AND FIRM FEPRESENTED, IF ANV. A V G� d •�_��_�� 1+. C,( � ti C <br />NEREBY APPI.IES FOR PERMISSION TO �I�I\ ��✓ ,Za ��� �lJ _ <br />AT THE FOLLOWING LOCATION <br />6 7/G.4 -3 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />dP/ �� � I G <br />�L k•i-s� <br />Cv.tJD/T/DG�G f�PP.�di9� —,PFdis�'1� f�,','/y'�tJS TIJB,F�P-�'C'�l/!f� <br />8�' .�/zz/� <br />--, _ __ <br />�'� J� %���/US /P�= ��`� d1= ,b -- <br />�.�R �� i�NS f �i`'r;PD�/.�-,L� � _Df�T�=� 3,�3��� <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />;,OPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FAR INSPECTION 259-881 f <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNiCAT10NS <br />PLRNi9NG <br />/ <br />AP OV 0 FO NS I N / OntE <br />' / ,�iA���� <br />. � �J <br />9 O D AS CONSTRUCTED DPiC <br />CONSTf�UCTION/AS �UILT <br />DRiVEWAY SEC710N <br />� jl„ LIP � <br />� 30' �t 30" <br />Tho under9lgnetl ownor heraby a9reos lo nol� end seve hermless <br />Ihe City ol Everetl Imm any end all claims lor dameges, cosis. <br />e.Venses. or causes ol echon Ihnl may anse bocause ol inSlallation <br />ana m, in�ennnce ul t�e impmvemenl ar ol�er righl-ol�way use <br />�creb appbctl lor antl lur�net agrees to remove Same upon no�¢e <br />bom I�e Ciiy an0 lo replate nuni�c proCerty Camagea Nere�y. <br />SIG A E O/,fnnPPL t / <br />/0. I/ / / T� <br />Ap0��E55 <br />�v��'T `�820 � <br />CITV jiP <br />2.59 -�� / <br />1ElE�NONE NUMBEH AUENNFtE <br />�Ef 1978 <br />