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� <br /> • e've.en <br /> � Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT : <br /> `, Type or p�int cleerly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS 3�� <br /> EVERETT.WASHINOTON � PERMIT NO. � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTEO. IF ANY: Tr�� �/��1'/U,OGCL�U CJ.__ <br /> HEREBV APPLIES FOR PERMISSION TO_ ��v3 T(# L C, otr O � k o7 f� � C=/"'0 %^t�- ��'�������'�� <br /> n.c�.f.- �i=�— �9- G L /= Y - — <br /> AT THE FOLLOWING IOCATION �0�I =ai i✓'= J r �v `�' '� �� r�� .__ <br /> DRAWINO (WORK TO BE DONE) OR T RE P NS ATTACHED: <br /> /— —� ' " .��� ���7/! <br /> I I <br /> �E'/� � � � <br /> � � <br /> �� <br /> -� G <br /> ;,::: : <br /> •�0 <br /> � ,�. <br /> � � � `` `� � � � L.� � �,�1 � � <br /> , - <br /> �; . <br /> ��'�:�:� • �<<, 11 1978 <br /> '; <br /> �................................................._....... <br /> �RrvE�1�YsE�'Tgy�RETT � <br /> Public Works Dept, <br /> PERMIT 1: VALiD FOR 60 DAY8 � � <br /> COPY OF TNIS APPLICATION TO BE POSTED i" uP <br /> ON JOBS(TE. : <br /> CA1.L FOR INSPECTION ZS9-8B1 1 30" _ �T�3o"�� <br /> 24 HOURS BEFORE CONSTRUCTION rne u�aersia�ea ow�e�nareny�yress �o noia ene�+.e n��ntns <br /> - Ihe Ci�y ol'Ereron Irom eny end �II cleims lor tlemagn. conb. <br /> . � � e�pansea,or c��iwe ol xtion t�at mey anx Cxawe ol insun�uon <br /> . anG meinlenance ol t�e Improveme�� or other nghl-ot-way ux <br /> nerelo apDbeE lor ana lurther egrees�o remove aama uvon nohcc <br /> Irom Ihe C�ly anG �o replace OuDbc propetly OemageC Ihe�eDy. <br /> DEPARTMENT APPROVALS <br /> ��.._ <br /> SEWER COMMUNiC�LONS <br /> DRAIN�OE TR�i � ���vY_ <br /> r_ <br /> WAiER PI ANNING OF�PPL�L�NT <br /> �� c3a,. 3oG C� <br /> STREET �DDRE55 <br /> �/� �i.r-c.� r r , G(�Q 9�f o)G 3 <br /> CITY zlP <br /> A N 0 �� � <br /> 3S�- //3 T <br /> TEIEVHONENUMBER AUEHNI1tE � <br /> A V AS CONS7RUC7ED o�re o�ie /�/���� <br /> CONSTRUCTION/AS BUILT �EE 1978 <br /> ��^'y� 3�' � ;� ����-'�B;y3 - ; ' ,�.�r,�ro.�+*' � ,4 <br /> � � . .'" b.i'.1� . � ��4.� A! . ��'. ._ . �•r' . .. �• �f'"�� � �". _ �L . ..��"� <br />