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C.�2ClM . <br />� APPLICaTION FOR RIGHT-OF-WAY USE PERMIT <br />Type Or print clearly wlth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � <br />�� ;, <br />PERMIT NO. <br />HEREBY APPLIES FOR PERMISSION TO 1 ' - ��l � r'�. "� . �- ���. ,. j ,_, ' � ,- ��,,�; . � � � . <br />f <br />: ;,.'D�i �,� i - .�+ !' I �' L ��� '�: i�: l - � r . . J ' ' ._a <br />f" <br />AT THE FULLOWING LOCATION i�i 7 'j ;�� j � — <br />��. /.. L . S ; <br />DRAWING (N�ORK TO BE DONE) OR THREE PLANS ATTACHED: �" y-�-g� ��� <br />' �1e�. � ��P �� � � <br />5 �ir � ,- <br />SEW_R <br />DRAINAGE <br />WATER <br />STqEET <br />�e��� �o �� t�� � �,�� � � � �. l �o � �� (,z <br />, � <br />� -�- � ���.;.�C,,, �, <br />t,�,�, o- �- �. <br />� y c�-k� � �eg��e,,.�,� <br />� � � <br />5a� ��- • <br />a, � ���-�; ;s` �.��ow� Q5 �I.�w�, <br />o�. S,I�.e�� .- �Z''� c�..�����- <br />�S �C'a«y +t��- f�u12P�Q �S <br />� � <br />�k C�(.�i��n4 � occ�.Y, s ��. <br />1s� `1 5 �. <br />DEPARTMENT APPROVALS <br />COMMUNICAtIONS <br />iRAFFIC <br />PLANNING <br />nPPROVED FOR CONSTRUCTION on*E <br />i <br />APVRpVEDriSCON5i9UCT[D DATE <br />� � i�:.� . .. . <br />�����.(� <br />UPl (c N1.� <br />�t 3 c,./'r c_ <br />L 30" 4 � 30" <br />The undersigned owner hereby agrces to hold entl savo narmless <br />Ihe Clty ol Everett Irom any antl nll claims lor damages, costs. <br />expenses. or causes ol ac�iun Ihat may anse bewuse ol mstallation <br />antl mainicnante ol Ihe improramenl or olher nght-ol-wey use <br />�c�clo nppLetl Ior entl lunher agrers lo removc same upon noLce <br />Irom Ihe Ciiy,and to replace pu�lic vrovei�Y aamngetl ihere�y. <br />Gnn1UH60i �PP�ryT� � ��C~ <br />��/ l s/ s'� -rj'� J <br />ACJAESS �// � <br />_! '% (`" /' f, " / � �jr'� C� � <br />cirr Ziv <br />..^S� 9�/7y <br />TELENMONENUMBER/� ..� AUEHNAiE <br />��.��..�.0 / �1 fSD <br />ome � — <br />— 197f3 <br />