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- , <br /> vere„ <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly with ink <br /> �� PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS � 33 <br /> EVERETT,WASHINGTON PERMIT NO. <br /> l,PPLICANT (UN�ERSIGNED) AND FIPM REPRESENTED. IF ANY:�I//<C-//`I/ /-� �O�S/'1 O <br /> � i. <br /> HEREBY APPL S FOR PERMISSION TO ��� ON TV �/'� C��/G S E fC l ST/NG I t D�7A! nI <br /> L �/ <br /> AT jHE FOLLO �NG LOCATION �/ I7/ F/yI�/2S v hI PL I�cF <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> M�Kc CaN�Jc�ziaN To e� rc�e� ,BRS�n1 r.v! z��F eo�JeJ2L Z"�= <br /> P66'.�'. . <br /> R�M,d�/�E /��=P�i9C.E T/fi9'T,R��tGOfc1 af' "�i`fF L`Rd�/Cl.t1l��' <br /> �N� S�D�!,U A[,{� �(/,E�ssf�if.'% Tv /vlRa�,E'G'a.t.kit� 7711�t1 <br /> I . <br /> � <br /> � . <br />��l <br /> I N��� : � <br />� �' S 1�Cv C�G:: �I ��oSS�r� Y'�VOS ' <br /> g zo <br />� 5t <br /> I ORIVEWAY SECTION <br /> i <br /> PERMIT IS VALID FOR 6Q DAYS 1.-- ----.� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I 30' I .,�30��,� <br /> CALL FOR INSPECTION 259-681 1 I' '1' <br /> 24 HOURS BEFORE CONSTRUCTION T�o unticrsignetl owner hereby agrees ta holtl end seve hermless �� <br /> Ihe City ol Everelt Irom any an0 all claims lor damages, cosls. <br /> eapen5e5.or ceu5C5 0l uclion�hat may arise beCaUSe ol in51811a�i0n <br /> ana maintenance ol ihe improvement or other ngh4ol-w2y use <br /> i herMo 20P��etl br Ana Iurihe� agrees to remove same uDon not¢e <br /> Irom Ihe City an0 to replace public pwperty tlamaged ine�eby. <br /> i DEPARTMENT APPROVALS <br /> � <br /> ISEWER GOMMUNICATIONS 'C' <br /> ORAIIIRGE <br /> iRAFFlC �,�� <br /> WATER PIANNING SIGNr1T 1� ANL / //S <br /> ADOAE <br /> STREET <br /> �S!�i�f-'s'�-t*�. . i � 4'.�'� 7 n <br /> � � �3 ��.. 6.r- s � z�P <br /> APP OVED POR CONSTR TION OntE ��—.�—Tj—� <br /> iEIEPMONE N11M0 Q Al1iRNAiE <br /> �/ " � � / Q <br /> �ppqg (��,�ppy{q �� OPTE ONE <br /> 'I � / <br />