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� <br /> � <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typs Or print CN�Ay wilh mk <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> PUSLIC wORKS PERMIT NO. �r �� <br /> EVERETf.WASHIN6TON <br /> APPLICANT(UNDEHSIONED)AND FIRM REPRESENTED,IF ANY: !. I <br /> Dl� ,��l�7TE�r <br /> HEREBY APPLIES FOR PERMISSION TO� �S j�� ��, �'�°^� �F T E �R I VG� � <br /> n ^ r <br /> AT TME FOLLOWING LOCATIUN�� ' <br /> DRAWIN(i (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> r <br /> /, <br /> , / <br /> . <br /> i <br /> . <br /> . <br /> � <br /> �RIVEWAY SECTION <br /> PERMIT IS VALID FOR GO DAYS I�---- --`� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. 30'� _I_30" I <br /> CALL FOR IWSPECTION 259-881 '! <br /> 24 HOURS BEFORE CONSTRUCTION The unAersiBried owner hereDy egreos to hold enA aere liarmlesa <br /> t�a Ci1y ol Everelt Irom eny anE ell cleimn lor demeges. cosis. <br /> CapC�S¢s.Of CBU5E5 ol BCliun Ih81 rtlBy BfiSC DEC8u4C OI i�51BIIBtiOn <br /> and maintenance ol Ihe �m0�ovement or ol�er ng�l-ot-way use <br /> herelo appliM lor and turlhei agrees lo remove same upon not¢e <br /> Irom Ihe C�ty a�tl to reD�ace puDhc pro0eriy OamageA IbereLy <br /> DEPARTMENT APPROVALS <br /> SEWEP COMMUNICAhONS //' � <br /> iRnfFlC � ! /{� '� <br /> oanivace v ��� <br /> PLPNNING SiGNFTUAE OF�j�'PPUCANi � % <br /> WRTER _" `15—/(p � / 1!J � <br /> aoo�,�� �1 9�' <br /> S,REEr � U "L c� <br /> � <br /> ��.: ��.� z�P <br /> . <br /> APPROVED fOR GONSTRUC ioN o•�E ,,�y � i .^^ �(7�t���S �l <br /> t- TFLEPMONE HllA10EA ♦�) qIiERN�LE <br /> �/� / 1 � � / <br /> APPROVED PS CONSTRUC7E0 <br /> OATE D�Tf <br /> vEE 1978 <br /> CUSTOt�ER <br />