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ever n � <br />e APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br />HEREBY APPLIES FOR PF,RMISSION TO <br />� �� <br />AT THE FOLLOWING IOCATION <br />=; _� a� -; , F;�= <br />DRAWING (WORK TO bE DONE) OR THREE PLANS ATTACHED: <br />� <br />PERMIT NO. 79/� <br />. r � � <br />I�daA , , 1 � Q �j ��CQ'�" <br />������ <br />--;� � -��..,yv,��� ,o�.,�.-s� <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEA <br />DRAINRGE <br />WFIEN <br />STA[[1 <br />DEPARTMENT APPROVALS <br />COMMUNiCAliONS <br />r' <br />o�ivEwar sEcnorv <br />(I" LIP i <br />� <br />L.30-+I- —�30„ <br />r <br />The undersignetl owner hereby agrecs lo hold end seve narmless <br />Ihe Cny o� Everett irom , ny and ail claims lor Oamages. costs. <br />e.penses. or causes of amm� ihat may anse because ol m5lallalmn <br />and mamlenance o� ihC �mprOvement or oihei righbol-way use <br />hC�P10 .l(IPIiCd �O� dfld �U��hCI dJ�CC510 �CTOVC SPmC up011 f101iCp <br />Irom fie C�ly and lo �epiace pu0lic pmperry oamaged tnereby. <br />� <br />iRPfiIC I .�� � � �.... `.�W <br />, � ��\ ���1 <br />PLANNING SIGNPLURE Oj /•NPUC4N1 � <br />�� , ) \( . l , — �- <br />•ODAE55 <br />�1. '�:. _ ..V,.�� `. 1�. } <br />APPROVLD FOF CONSiRUC110N �AtE <br />APPROVED AS CONSTRUCt�U �A�E <br />1 <br />TEIFPHONE NWA�ER A�IERNAiE <br />� , < 'l�� <br />1978 <br />