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'� , <br /> � <br /> j everefl <br /> APPLICATiON FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or pnnt clearly with mk <br /> � PRESS HA{iD- YOU ARE MAKING COPIES <br /> � PUBLIC WORKS r / <br /> IEVERETT,WASHINGTON PERMIT NO. �%G� <br /> I APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> I <br /> ! ?--� <br /> HEREBV APPLIES FOR PERMISSION TO ��- �-�" !i /� i^ .t� - �- -�-�'�E`�/%_ - <br /> ��� t. �,/'i ' �. ��` L�:�� !LL ' .. , �,j_� �'-�fi_e r <br /> AT THE FOLLOWING LOCATION �J� I, � �!�-'��V' �- <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br /> I <br />� <br />� <br />� <br />� DRIVEWAY SECTION <br />' PERMIT IS VALID FOR 60 DAYS � � <br />, COPY OF THIS APPLICATION TO BE POSTED + P' LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 30 _�30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The untlersigneE owne� hereby egreey to hola en7 save�ermlens <br />. Ihe Gty ol Everell Irom eny and all cleims lor Gameges, cosis. <br /> e.penses.or causes ol acti0n I�aI may anse because ol lnstelletion <br /> entl maintenance u� Ihe �mp�ovemenl o� olher ngh4ol-way use <br /> hereto a0V6eE lor antl lurther agrees to remove 5ame upon notice <br /> bom Ihe GIy entl �o replflce pu0hc property tlamage0 Ihereby. <br /> DEPARI'MENT APPROVALS <br /> SEW EN COMMU W CnTIONS <br /> I <br /> DNRIN�GE iql.FllC ' �� <br /> 1 � <br /> W�TER PL/HWNG SIGNATUREOfAPcliC�ryi �/Y <br /> I / <br /> STFEET Jq0�RE55 � � <br /> � � <br /> tit'� ��;.'..� J— � y —�U crtr O S nr <br /> APPflOVEDFOR CQrySTRyCTION On1E ,�. <br /> \/ / <br /> TELE�IIONEI�UMBER AlT[NNATE <br /> f� <br /> APPROVED AS CONSTRUCTEO DnrE DnrE <br /> I �;L�'�Gf�LP�(�[(����Y �EE _ — — _ . _ _. ___.. <br /> 1978 <br /> ". f -- -,y ar�-.-- <br /> q[p�' �J,�� 'i� . <br /> _ . . , . ... M1�lII"..�\�.fY+.r'�'�t, _ <br />