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� <br />�'; <br />-�r- ' <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prmt clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />i, <br />PERMIT NO. � � I <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />I APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />HEkEBY APPL�ES FOR PERMISSION <br />AT THE FOLLOWING IOCATION <br />►� <br />`: G-(4-�� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br />� �� <br />� � �J .�� ��.-;Lii '_i,�• -Y.L_�L1c-�_ %�-�� ���� � <br />{: <br />PERMIT IS VALID FOR 60 DAIfS <br />COPY C1F THIS APPLICATION TO BE PUSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DR�INRGE <br />W�TER <br />DEPARTMENT APPROVALS <br />GOMMUNIG�IIONS . <br />TRRFfiC <br />PIANNIN3 <br />STFEET <br />/� ( % � � / rn� ( � /j,— /_" <br />A PHOVEDPOF N5T UCTION ��,�' E <br />�,✓� i�i .�-1>-�i <br />OVED AS CONSTRUCTED DnTE <br />CONSTRUCTION/A: BUILT <br />ORIVEWAY SECTION <br />�I <br />� � I <br />I'� LIP �i <br />�30�� _�_30�� I <br />i <br />The underaigneA owner hereby egrees lo ho10 anA save barmleaf <br />Ihe Clty o� Everet� Imm eny en0 811 Ualme lo� Camegea. cos�s. <br />eapense9. or causes ol atlio� ihal mey anse becAuse ol installabo� <br />and maintena�ce ol I�e improvemr�l o� oiher righ4o�-way use <br />hereto apD�ied b� en0 �utlher a9rees to remove seme upon novice <br />Irom �hC C�ty end lo rC018Ge pub�m pro0�rly OPmagetl Ihereby. <br />S�GNRi <br />/� /l/ � <br />srvi 4/� <br />�/\/ "�� <br />��.--��li//' ��0.� <br />c��.3— �,�rl� ! � ..�1—� —��/� <br />iELEPnO E NUMBEq �L1ERN�1( <br />�=,�`�,� <br />U��E <br />1978 <br />