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everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERIIAIT <br />`' Typ= or print clearly wi�h mk <br />PRESS IiARD - YOU ARE P:IAIUNG COPIGS <br />PUBLIC WORKS <br />EVERETT,WASH�NGTON <br />APPLICANT (UNDERSIGIJED) AND FIFM <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLIOWING LOCATION <br />PERMIT NO.�U�_- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID F'DR 60 nAYS <br />1 <br />sG. OE �'Or-I �✓C _ <br />,l , — ._`.:U') — <br />��.; , p�� /'/p <br />/'�n...Li',. /.. i '% �l- .. ! : <br />� !�� " <br />�./s✓c %i:.ti/w•( <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />C6►LL FOR INSPECTIt7Pi 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SFWCR <br />DHNWAGE <br />WATEP <br />DEPARTMENT APPROVALS <br />GOVMUNICATION$ <br />TRAFfIC <br />FLnNHiNG <br />APf'HOV[D FOR CONSTRUCiION Dn1E <br />APPHOVED nS CONS7fiUCTED oaie <br />� <br />ORIVEWAY SECTION <br />� � <br />I" LIP <br />30" �.1. ( 30" � <br />i =� <br />T�e untlersignetl ownor �ereby nqre¢s W holG anA save �ermless <br />Ihe City ol Everell Iwm any antl ell Uaims lor Jamages. cosls. <br />oeDenses. or causes ol aclion Ihat mny arrse �eca�se ol mstallabon <br />anJ mnmlenance o� t�r impwvement or other ngnPo4way use <br />hercto apphetl IOr an� turihe� . giees to �rmpyi� samv upon nohee <br />Irom Ihe Gty :tm1 to rcplaCe O���hc p�opertY Oam:iqecf hercpY <br />r <br />.��5-�� L�`� <br />iElEVi10NE.NUM ERT n�1U�NN� -- <br />� � C' <br />oniE <br />1978 <br />