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i - <br /> everetY APPLICATION! F(�' R RIGHT-OF-WAY USE PERMIT <br /> I� e <br /> Type or print clearly with�ak <br /> PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NOL� <br /> EVERETT,WASHINGTON <br /> I APPLICANT (UNDERSIGNED)AND FlFM REPRESENTED, IF ANY:_ � <br /> � <br /> HEREBY APPLIES FOR PERMISSION TO_ <br /> I <br /> I AT THE FOLLOWING LOCATION�I —P��� � �� <br /> 3f�/O-.•/�f.�S ��a,,.-/f tc•'a•: ��?O/ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: `' <br /> J��w 9 S A�-�� � � �.., ~�`''� . <br /> ,� �-� in��LL V=,v I 1 �l��r_t.�-f� ��� \ <br /> �� � �\J "� �Q,LJ� � <br /> , cn <br /> � � `I ����L S .. <br /> � <br /> I <br /> I <br /> IORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS {�— --� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED � � i" LIP —� <br /> ON JOBSITE. I 30' I -�-30--►� <br /> CALL FOR INSPECTION 2'.t9-8B 1 1 I� �1' <br /> 24 HOURS BEFORE CONSTRUCTION The unUerslgned awner horeDy agrces lo hold end save�ermless <br /> I�e Cily ol Everett Irom any and all clains lor demeges. casls. <br /> CKpen5e5,or causes ol eCiion lhai may ense beCauSe ol inslallation <br /> nnd mpintenance ol ihe improvement a ol�er r�ghhol-way use <br /> hereto appi�e0 lor ana lunhe� agrees to remme same uDon noUce <br /> Irom Ihe C�ty antl lo reF�ace public pw0erty tlnmagetl Ihereby. <br /> DEPARTMENT APPROVALS � <br /> SEWER COMMUNICAT�ONS I <br /> DRIIN�GE TPRFFIC r <br /> WATER PLqNNING SiGNATU�EOFAVVLiG T �� <br /> /9 31 L���r�rsrr-/� <br /> nooaes3 I <br /> �S,A ;.� ' l �d �N <br /> i � /�, ci� O ��L ziv I <br /> ! o� �"`�� �13 0 .��'i.l �1 111 <br /> PP ED FOR C� TAU �N �D TE <br /> � IELEPM NE ��� ALIERNAi � y <br /> � , _ 9� .�� �� - <br /> n"PROV D AS CON RUG D <br /> onre onre <br /> CONSTRUCTION/AS BUILT �Ee 1978 � <br />