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� �.-,t q <br />P <br />everetl <br />Q APPLICATION FJR RIGHT-OF-WAY USE PERMIT <br />`� Type or print cleArly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASh::NGTON PERMIT NO. 7� '2 � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />'-IEREBV AF'PLIES FOF PERMISSION TO ��~ �T�' �� f� ��S P�'f'�kCJ i��Lt/ <br />'AT ThE FOLLOWING LOCATION L� z 3 ��� �I N�S //�F O �� U� <br />DRAWIN�i (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� �YLo t,J�-�- o� �ti,�- �.� �4.�.2k ,�2 �'ov�e �-�, � � . <br />/L,��" d� (�-�-��- �,c�� � �J-�.� n-�. �t� �n� <br />p�;����� 1' ` � � } �, � ��.�-�A � <br />�b ,�r-� � P �,-�. �cJo-�,�, — <br />PERMIT 1�: VALID FOR 60 DAYS <br />COPY OF THIS APPLICATIQl1 TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2s9-88 i 1 <br />24 HOURS BEFQRE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SE'.:EN <br />ORRiNAGE <br />WATER <br />STqEET <br />P ROVE F 51�',Ub <br />COMMUNILRTIONS <br />TRAFFlC <br />PtANNING <br />_ � �-� 9 <br />DATE <br />�22-� <br />- ��<,� <br />� <br />�, b IVEWAY SECTION <br />;r ��j <br />I'� LIP <br />�, 30'„�� � �L30"_� <br />r-� <br />T�a undemigned owner hereby egrees to ho10 artl seve hemileas <br />Ine Ci;y ol Everett irom eny entl ell clelms lor c'emeges. costs. <br />expenses. or cau5es ol ection Ihe� mey erlse beceus � ol in9tpllalion <br />antl mainlenflnce ol I�e Improvement or otner m7nt-obway use <br />nereto dppbeE lor antl lurihe� agrees Io mmovc same uDon nobce <br />Irom Ine Qly an0 to re0�ece DuChc property tlamayM t�ereby, <br />� <br />-Se�. �/��e . G✓o. 9£�//s' <br />LiTs � ��y 2�P <br />S� Z � ��. <br />iELEPHONE NUMBE' q�iERNRiE <br />7-/7-7��� - <br />nnn <br />. <br />