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� <br /> _ _ _ <br /> �� <br /> I � <br /> everen <br /> Q APPLICAYION FOR RIGHT-OF-WAY USE PERMIT - <br /> `�� Type or print clenrly with mk <br /> I PRESS HARD'- YOU ARE MAKING COPIES . <br /> PUBLIC WORKS �jU � <br /> EVERETT WASHINGTON PERMIT NO. � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPFESENTED, IF ANY:__ _ <br /> HEREBV APPLIE:i FOR PERMISSION TO � �d���'-'�e T �`u '_C�.,OfII G/�G� ��� <br /> D.�� ��u>o� ,� �<c.J GtiBl�� �'��H i -a� — G�R% <br /> AT THE FOLLOWING LOCATION 7 �� � � J W n /�� '" I J�� _ <br /> DRAWING (WORK TO BE DONE) OR THRF.E PLANS ATTACHED: <br /> ' � -r�vP� ,b ��� v,�- u1� J <br /> � s �`��� 7` /MP/�'vUr,�l��ll.T TC� /�lc,�T �a'/STi�/� <br /> ►,V� TN Sr� TN Ti�?,��lJs���D.0 <br /> � <br /> � # 5 T,P�'� � S�"il�tJD�i',�� f��"�c�h'<.D Ta �.��9�Lr <br /> � <br /> , <br /> I � <br /> � <br /> i <br /> � <br /> � I <br /> i i <br /> � I�I <br /> I ORIVEWAY SECTION i <br /> iPERMIT IS VALID FOR 60 DAYS � � i <br /> I COPY OF THIS APPLICATION TO BE POSTED + t" LIP �, <br /> � ON JOBSITE. � _30" � _L3o" <br /> � CALL FOR INSPECTION 259-8t31 � r ; � <br /> I 24 HOURS BEFORE CONSTRUCTION � <br /> � The underslgned owner hereby agreos to holtl nna save hmmloss I <br /> Ihe City ol Evereit Imm any antl All clalms lor damoges. tost5. <br /> iexpenses.or causes ol action Ihat mey arise because ol inslall6tion <br /> lnd ma�ntenance ol Ihe improvemeni o� oihcr nghi�ol-wAy U5e <br /> I, herelo applied �Ot an0 lurther agrees lo rmnovc same upon notice <br /> i Irom ihe Gly antl to replace OuCI¢ pioperiy damaged IhereDy. <br /> iDEPARTMENT APPROVALS <br /> SftVEP COMh1UN C4TION� � <br /> OflAINAGE TAAF��C � / /7 /J I <br /> !/ l�iGi` <br /> I A /T Y_ II <br /> 1 l/iv6 <br /> 1YATEF PIANNWG SiG AIUREGFnPv�iCnNt � <br /> � ' 33.� s 9i s'�ST S�' ; <br /> I STREET T ADORE55 �I <br /> �.�e�,�J�' 4/� 9fi 7 o SC I <br /> ��� ,�� /��1� ��r, � .,P I <br /> I APPRO DFON CONSTFUC N �ATE ��I <br /> 337-�Fo7,j 3,?7-6isrv <br /> I _ TCLEVMONE NNdOER 411E��NnfE <br /> � AUG 8p i �� �o , <br /> iAPPR COWS l 7E'D oaiE oai , <br /> I <br /> � CuiJ�it�iUCiIDi�,Y�SGUILT ��E — �- - 1978 � <br />