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a -YdAY USE PE MI <br />, Type or Frint clearly with mk <br />� . PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS C� <br /> EVERETT,WASHINGTON PERMIT NO. '/� ��. <br /> ., <br /> l��\ <br /> I APPLICANT (UNDEflSIGNED) AND FIRM flEPRESENTEO, IF ANY' _.___,_ <br />� HEREBY APPLIES FOR PERMISSION TO <br /> I I <br />� AT THE FOLLOWING LOCATION_ I I I 7 I�I�p�E S / <br /> DRAWING (WORK TO BE DONEI OR THREE PLANS ATTAC:iED: <br /> 1 <br /> I <br />` <br />, <br />� <br />, <br />�` <br />` <br /> � <br />� � <br />� <br /> I ORIVEWAY SECTION <br /> i <br />� PERMIT IS VALID FOR 60 DAYS � � <br />( COPY OF THIS APPLICATION TO BE POSTED + i" LIP <br />� ON JOBSITE. � � <br />' CALL FOR INSPECTION 259-881 1 f�-o';� ��30"� <br /> I24 HOURS BEFORE CONSTRUCTION Tne unaersigned owner hereby agrees to hold end save harmless <br /> Ihc Gity ol Everett Irom nny and ell Uoims br tlamages, cosls. <br />� eapenses.or causes o/ection Ihal may nrise because ol mstallntion <br /> ana mainlenance ol the impiovement or olher nghl-ot-wey use <br /> here�o applied lor a�d lurther agrees to remove same upon noticc <br />� Irom Ihe City m�d b re0lace public property aamagrd Iheiehy. <br />� DEPARTMENT APPROVALS � <br />�! $EWEP COMMUNICAT10Y5 <br /> 1 <br /> ORnINaGE TnAfFlC �y <br /> " _ "�� �, �(�r�f/7 _ <br /> WATER PLANNING SIGNATURE O�APPUCANT ��� « — - <br />� /�� Y �.�.t-�--� <br /> sTaee. noor+Ess <br />� � / f'�--�..�'- S�I"/ <br /> � �E�'L . , /' ,��l� citr Zio <br /> A OVEDfOR 015TR CTION ', pqtE � ' �!���/�CG ' <br /> / <br /> I I IELEV110N[NUMBER /IiERN/LE <br />� � � .,-.,- � `:� (�\;(l�f� �U' CJ _ I <br /> APP D CON U TED DAi[ DnrE <br /> l <br /> i i ' <br /> CONSTRUCTION/ASBUIL'i �E� 1978 ' <br /> I <br />