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evere„ <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or priM clonrly wtlh mk <br />�� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS �, <br />EVERETT. WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANV: ��JL�n� �J(�'^ a' — — <br />�� <br />HEREBY APPLIES FOR PERMISSION TO <br />J�3%J 0[ra'�. /��:� <br />qT 7HE FULLOWING LOCATION — <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />j <br />, <br />S <br />cl <br />� <br />O <br />.-�1 � V/t/� <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />v1ENT APPROVALS <br />[onmwwcai <br />R� <br />���� � <br />'� c � � / <br />l / <br />��/ •iU� �� �". � . <br />/ � /✓y�.�%/"_ S .i�.�:� <br />SfJr OAIE <br />ApPfi VE ASCON: (itic.TED <br />COt�!STRUCTIOI�iAS [3UILT <br />� :�1> <br />�'� . ,.. �Vl; <br />ORIVEWAY SECTION <br />� -- � <br />�� tl" LIP <br />�30—�-- �30,� <br />The un�er5igneG owner hereby agrees lo holtl anC savc harmless <br />Ine Cily al Everetl Irom any antl all claims lor udma9es. cosls. <br />enpenses. or eduses o� aclwn Ihai may anse �ecause ol msi�llaho,� <br />nnd mpinlCnance ol I�e imOrovemC�i 0� Oihe� ngh4ol-way � <br />pi.��q�� �pVi���f loi nn� Iwtne� ng�ees to remove same u0o�� nol�cr <br />bnm Il�r GI'i dn,f �n �c1�laL• 1'.uLLc P�ot�rrtV Camd9C[1 ihcrt-U�' <br />- /��� . _.^_�__----�. <br />_� � �_�... —_____ .. <br />s Gr�nru//r,���t' avri Cnr�iJ� ____ _--_ .-- — <br />(� �.i ���j L' - ' /l�'�� — <br />noo��ess <br />Gv�-rll � 9�:��.� <br />CIiV 21V <br />�� 3-2� 7y .Z57-8��/ 1 <br />tELEPMONE NUh1UE� �LiERNA1L <br />