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� <br /> ' everen <br /> � Ar�PLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS ��ARD - YVU AR[ MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHIN(;TON <br /> PERMIT NO.-79/� <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:��/�/iOUGL� eQ <br /> HEREBY APPLIES FOq F'ERMISSION TO C-O'1'4/.S T/E�LC'LT ,/g;�pr(/f-� r �c ,�7�uC /y — �Q I�j��� <br /> —L,�/� S�� 'rL�U/�i5'1h' /� /'2��ui/Z2iJ <br /> AT THE FOLLOWING LOCATION 6 6� �C-,��"iuwc�,� fL ��+F-j;"�/�^ �- '�- - <br /> DRAW�NG (WORK TO BE DONE) OR THREE PLA ATTACHED: <br /> � <br /> I 3 �-( <br /> �y ' � <br /> - �� � <br /> . �' <br /> �`� -,,�� <br /> �. - --. <br /> �1 <br /> fti:::`19uks C:p�T <br /> � <br /> � <br /> �...r <br /> MAR 1�1� � <br /> G�,�'�cfc-�,p — _ - <br /> i <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � <br /> COPY aF THIS aPPLICATION TO BE POSTED � <br /> ` ON JOBSITE. i" LIP <br /> � CALL FOR i1�iSPEC'i'IOW 259-851 1 30� 30" <br /> i 24 HOUNS BEFORE CONSTRUCTION <br /> Tha untlersigne0 owner �areby egreas to holtl anA sevo harmless <br /> the City ol Everett �rom eny anA all cleims lor demeges, costs. <br /> �� eRpenses,or causus ol action I�el may ense because ol mslallalion <br /> and maintenante ol t�e improucment or ut�cr ngnt�o6way use <br /> hereb appbcd lor,�ntl furl�cr agree5 Ip remove same upon noUce <br /> DEPAFTMENT APPROVALS hom me Cny ana �o ieo�ece puoim Pronerty damagea increoy <br /> SEIVER COMMUNiGq110N5 <br /> pRA1NAGE TqAiHC � <br /> �t�--oC� C'( <br /> WqTER PLANNING <br /> SIGNntURE O'�FPUCANI <br /> SiPEET _/—G �JY ZD�� <br /> 40pRE55 <br /> . �L�- �c5' �O � <br /> citr i , <br /> APPROVEO FOR CONSTFUCTION pqr� <br /> .3SS= !/jS <br /> . .f'.. �q.Vf '.. ;,,.�n --_. ._ _ _ _.. ._ _ _ __ <br /> a�i �.r <br />