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.. . . . . .. � . . . . . : . ... .. . _ -. . .. 5.�, , � , , . ,cK. . . <br />` .` . .. . . . . <br />�� ApPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />. � Typ� or PNnt ch�rly wlth fnk.� �� .� ; � � � . . �. <br />PRESS HARD - YOU ARE MAKINO GOPIES �'�'' <br />PUBLIC WOAKS � � � - � ' <br />EVERETT, WASHINOTON PERMIT N0.29�i 4�3 ;. <br />APPLII;ANT (UNDERSIONED) AND FIRM REPRESFNTED, IF ANV: <br />HEREBY APPLIES FOR PERMISSION <br />� <br />AT THE FOLLOWING LOCATION 3 4� 1 ���� �� � r I I I <br />DRAWIN(i (WORK TO BE DONE) OR TMREE PLANS ATTACHED: <br />� �� w a y �sP,� � y�3� ��,� r <br />n.,,-, �,-� ..� v i v C n <br />r ,•�i , FY�'s f,'.-,� v+'r�veo✓ay �'vt �Lof �7yz� <br />f)� G i r f r S <br />7o be us�� <br />PRUtI t Dt Co P!c 5 af ��SE��iU T F'O� RLG LG75 <br />! �� � ,�� � <br />�D "� , S �A Jo M r ��� <br />� 5 ,I�- `� 's d� � <br />0 / _ o ,�i <br />U <br />/ � <br />� <br />PERMIT 15 YALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-681 1 <br />24 HQURS BEFORE CONSTRUCTION <br />DEPARTMENT API <br />SiREET <br />�.1PFROV ORvh�R�� ATE <br />APPROVED AS CONSTRUCTED <br />� S�' <br />v� <br />�,s / <br />. � <br />� <br />�v � <br />�� <br />0 �/ <br />/ <br />DRIVEWAY SECTION <br />� � <br />I" LIP <br />3�„� _—� 3�„ <br />T�.e unCersigneA owner here�y eprees to �oIC en0 sevn �ermless <br />Im± Cty o� Everetl Iro�n eny en0 ell Cleims lor tlame9es. costs. <br />e+Denses. or c3use9 al aclion I�at may a�rse Deceuse ol mstallation <br />anC maintenance ol tne ���provement or olher ng�4ol-way use <br />hereto ap0�i� Wr an0 �urtne/agrees to remove same upon nobce <br />irpm tl+e C�ty ar.G to �eplace pu0h� proGetly damageE Ihereby. <br />51 Tl L Gf AP Itt • .•�-' <br />� <br />FODqE55 <br />TE�EPMONE NUMBER ALIEAN�i: ' <br />CONSTRUCTION/AS BUILT Fee 1978 <br />... <br />' .>: � <br />