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4 y <br /> r � <br /> � <br /> � everen <br /> � APPLICATION FOR RIGHT-OF-WQY USE P�RMIT <br /> Type rr print cleerly wdh mk <br /> PRESS HARG - YOU ARE MAKING COPIES <br /> PUBLIC WORKS :, � � <br /> EVERETT,WASH�NGTON <br /> i-�RMIT NO. ' `� <br /> APPLICANT(UNDERSIGNED) AND FIRId REPRESENTED, IF ANY: u �� � � (��� S 717 v (�\ I ( LJ( i�� � ���/��r� � <br /> / . , — f <br /> HEREBV APPLIES FOR PERMISSION ?O � - ' <br /> � <br /> AT THE FOLLOWING LOCATION� l I� , I I.f � �� -�.-��('I ��� j-? I/1�I U� — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> 1`�CCA' Qe%tGi I5 0,,, drA � r c� � t <br /> Gt v�cll ��nr�CJ C� C' 1��� IS O n IOI ✓l5 fCCa�Qhvt \ `����C S <br /> �--1 <br /> 1 � <br /> � �-�I i s �o t 1 S o ,n �c S�� � �� � ��'.l� STt�� e <br /> ✓ ���� <br /> � <br /> ��-�i.�- � e t- � c�r„�e �-,;a y �� <br /> � o� �o� <br /> G � ' p�z �ow v� �. s�- � c �arrr� <br /> v , �,., <br /> �'G.l�:-� q//� � <br /> Sd'i��7�i.� � �, .$/ � .S/y�.� o,-rr <br /> OPIVEWAY SECTION <br /> PERMIT IS VALID FOR GO DAYS I.__ -� <br /> COPY OF THIS APPLI�ATION TO BE POSTED � I" u� � <br /> �ON JOBSITE. I 30�- - -r3o� <br /> I CALL FOR INSP�CTIIQN 25�9-881 1 I'--'�-- <br /> 24 HOURS BEFORE CUNSTRUCTION 7he undersignetl owner he�eby agr^es to ho10 ontl save :ia�mlr.ss <br /> ihe City ol Everett irom eny an0 alt claims lor aamaqes, wsts, <br /> evpenses.or wuses ol action�hat may arise�ecause oi mslall�imn <br /> antl mainlenance ol ih� �mprovement or oiher riqh4of-way ur <br /> I � nereto aOP��ed br an�Wnher agrees to remova same upon nobre <br /> ' Irom Ih Gty antl to reG�ece pubb,;, pioperly dnmagetl Iherety. <br /> IDEPARTMEIJT APPROVALS <br /> I5[WER COMMl1NiGntiONS <br /> OPR�N�GE TRAFRL • / � 7L� � <br /> _ �:�� ���� :.� G S .C/�-�. !�✓�CRGI <br /> WAIER PLANNING SIGNAiUR[ t APPLtCANt <br /> �}�� C� /�f�lC <br /> STFEEI �ODRE55 <br /> /} U��� 17 (,�,lJ <br /> ��__L// — " /c/>>/�a "` �J Z�" <br /> AVF.�O ED FO CONS�RUC ION � oATF ° S p - ��/ 7S _ <br /> iELE�r10>'E N111.16ER ALIEFNAiE I � <br /> I -- ��'�______---_ I <br /> APPROVED AS CONSTfiUCTEO �AiE Dn E I <br /> � i � rEi �9�8 <br />