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� <br /> - _ _ I <br /> I f ` <br /> I everetl �� <br /> Q APPLICATION FOR RIGHT-CIF-WAY USE PERMIT <br /> � Type or print clearly wrth mk <br /> �� PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLIC WORKS PERMIT NO. ��/ya � <br /> EVERETT,WASHINGTON <br /> I APPLICANT (Ul�DERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> IHEREBV APPLIES FOR PERMISSION TO <br /> i <br /> i / 9/�` CvFr'� �`i` �,i E- <br /> AT THE FOLLOWING LOCATION <br /> � DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> � , <br /> � <br /> I <br /> I <br /> � <br /> � <br /> �� ' i <br /> I <br /> � � <br /> � I <br /> � i <br /> 'I i <br /> I � <br /> I� II <br /> �I <br /> I <br /> I , <br /> � I <br /> DRIVEW�Y SECT�ON � <br /> I <br /> �I PERMIT IS VALID FOR 60 DAYS � --� % <br /> � <br /> � COPY OF THIS APPLICATION TO BE POSTED � � i" uP I <br /> ON JOBSITE. I 30'� _I_3o" <br /> ' CALL FOR INSPECTION 259-881 1 �� <br /> ! 24 HOURS BEFORE CONSTRUCTION Thu unaersigned owncr Oereby agrees to�oIC end save hermless ' <br /> � - Ihe Cily ol Everelt Irom any antl 811 claim5 br dem0ges, cosis, 'i <br /> I ezpenses,or causes ol a[tion thel mey erise betau5e 01 in5tailetion I <br /> I <br /> � antl maintenance ol Ihc Impmvemenl or oiher ngh40�-way use I <br /> hCiMo eOPliCd IOr and lurther agrees t0�Cmove SBme upon n0tice i <br /> iIrom Ine Cny and lo �eplace public pwDerty e7emageC IhereDy. <br /> DEPARTMENT APPROVAIS <br /> � sEwen con+nwNicanons �', <br /> I <br /> I <br /> I ORPINAGE TRAFRL 'I <br /> I <br /> � SG A RE O AP UCRM � <br /> I Wr1TER PIANNING � <br /> �ilobt L'I�lo 972� 5E 36�' <br /> nUONEss� �� <br /> S'"EE' q8o4o <br /> �PVL+� .�.tln �W� �'� <br /> I � � Gliv Z�P <br /> � � <br /> I qPRpVEDFOR NS UCTION �AT a3FJ- USU�� II <br /> / tEL[f���ONE NUM�ER A�IERNALE <br /> � � �j,,q'� I <br /> I , �, � J .��� �� � -_ __ <br /> 4:%.! � ��.c�,- ----- ---- � ,,,F _'`y-------- <br /> � � �. icr i � — <br />