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� � r , <br /> . j: - <br /> �.�n <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> `� Type cr print clearly with�nk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. 79 '� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: NA �PqC Fl G.^.I"> / <br /> HEREBY APPLIES FOR PERMISSION TO �R�`I� d FF7��� � L�(')' <br /> AT THE FOLLOWING LOCATION � 3 L l-vAln/V T S� <br /> DRAWING (WORK TO 8E DONE) OR THREE PLANS ATTACHED: <br /> � <br /> I <br /> I <br /> II <br /> i <br /> �I <br /> I <br /> i <br /> Dt�,vEwar stCTioN <br /> P�RMIT IS VALID FOR 6(' DAYS � ; <br /> COPY OF THIS APPLICATION TO BE POSTED �„ ��P __� ' <br /> ON JOBSITE. � <br /> CALL. FOR INSPECTION 259-881 1 �..30" ,Ir �T 30'� <br /> 24 HOURS BEFORE CONSTRUCTION T�e untler5igne0 owner here�y agrees to nom ana save na�mi� <br /> ihe City ol Everetl Irom Ony ond all claims lor tlamages. cos'�� '' <br /> eRpen505.or cau5e5 0�atlion�hat may ari5e betause ol insiBllab�.� � <br /> and main�enance ot Ihe improvement or'ol0cr ngh4oLway ��, <br /> M1"•pta ap0�i�tl loi antl hulM1ri :��rees In remrne samr upcn na.i.. <br /> ' .ii t'q� an�! t . .� I.uL . iol`i �. � ,,..�':] q�. . . . <br /> DEPARTMENT APPROVALS <br /> SL�:E� GOMMUNiLAtiONS <br /> puaWnGE TRAFFlC � <br /> �---�-`�����, , ( <br /> Wn1ER PLRNNMG SIGNFTURE Of APPL�G/Ni <br /> t � 3 � ���Ci, �e,.i»�c' <br /> 5*NtEi /DDRE55 I <br /> � <br /> / 'r E�•ChCCi [��LVI <br /> .�ffr`✓1 �`'V',vI' �� /o - a s-7�'j �,,. Z�P <br /> AWR� VEDfOR aSTR CTION / OniE LJr Z —' �/j O <br /> _-` : TELEPMONE NUMpER AUERNAi[ <br /> � I � / // � I � ' <br /> APPR V D AS CONSTRUCTED . OA1E DArE <br /> � Clii:� I i;U��I IC�I`!/1\S G�IILI ,rc <br /> 19i8 <br />