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.L r <br />everett <br />� APPLICATION FOR RIGHT-OF-WAY USE ['ERMIT <br />Type or print clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES � <br />t'UBLIC WORKS �;� �J'� <br />EVERETT, WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND FIF.I�A REPRESENTED, IF ANY: `'� ��� �C�� �GA/, SO/� � <br />HEREBY APPLIES FOR PERMISSION TU�/�` <" ��J � ��� ( l �(�'� �'��! � /,�'� ��� CC� �£ <br />l�(�.t��l�t<�` L 1�.�.:�,/1 ;(,;:;>�:J. J <br />AT THE FOLLOWING LOCATION //9� MV'e�L j r� p ��. ��D. � <br />DRAWING (WORK TO BE DONE) OR 'i HREE PLANS ATTACHED: <br />s <br />l <br />vll /% <br />� O <br />�' <br />�� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION Tu BE PUSTED <br />ON JOB�ITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEfi <br />ORAINAGL <br />WATEfi <br />/ <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TR�FRG <br />P�ANNING <br />3 �J <br />����_...� � <br />ORIVEWAY SECTION <br />jl" LIP � <br />� <br />I'30� •�",�30 � <br />Tho undersigned ownor here6y a9rces to hold antl savo hermless <br />Ihe Ciry ol Everelt Irom any and all claims for tlamxges, costs. <br />evpenses, or causes ol Aclion IOPI mAy.Vise becnuse ol installBtion <br />and mamlcnance of Ihe impmvemeni or oiher ngni-of�way usc <br />he�eto xpp�ieE lor and Wrlhcr ngrces to �emove samc upon nonce <br />Irom Ihe Cny an0 to replace Oublic propeny tlamnged lnere7y. <br />3ss-2G2�'r Z�-�'��� - <br />LELEP O ENlIMOER � AUE��NAiC <br />,,:„ <br />��ec�_ -./3 , /9 --_ <br />