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Ieveretl � <br />I � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />I Type or pnnt cleaily with ink <br />PRESS HARD - YOU ARE MAKINCI COPIES <br />� PUALIC WORKS --� l /� „ � <br />� EVERETT, WASHINGTON PERMIT NQ� � <br />IAPPLICANT (UNDERSIGNED) AND FiRM REPRESENTED, IF �NY: <br />IHEREBY APPIIES FOR PEFMI3510N TO_--- <br />I � 'Z i j .j % / ry j / , <br />iAT THE FOLLOWING LOCATION _ _ <br />i DRAWING (WORK TO BE DON[) OR THREE PLANS ATl"ACHED: <br />� <br />; <br />� ,: <br />I PEfr�MIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITC. <br />� C�ILL FOR INSPECT[ON 258-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />i <br />DEPARTMENT APPROVALS \ <br />_ \ <br />sEwEn C,OMMUNica 1 iONS • <br />OMINPGE iRqiFlC <br />IYAiER P�ANNING. . . . , _ <br />DRIVEWAY SECTION <br />r--- -- — � <br />� f I" LIP � <br />�., 3–_'i�__ �3� � <br />Tbe unAersigneE owner hereby agrees to hola �wd snvo Oarmlrss <br />Ihe Ci1y ol Everetl Irom nny and nll cln�ms Wr tlamayes. rosls <br />c�penses. or causes ol nction t�al may xnse becwse ol �nsixllabon <br />antl mmnlenante ol Ine unprovem,.�m O� otnrr nghLobway usc <br />nerelo aOPlmd lo� antl lur�ner :lgreec lo remuvr Same upon nobce <br />�w�>> Ihr COY �nU lu iepl.¢c pub:m P��perlP �emagetl Inerebv. <br />_ TELCPMONE NUMBE❑ Al�E1VNAiE <br />i:l.�i:.>':� i;l'��liJ.r�;e i...�.�..�1 ii�-. <br />� <br />� <br />_ "_ I <br />� <br />---�— 1978 �� <br />