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Type Or prinl Glearly wilh ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />'! T, <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT NO. <br />c � ���e�eau Tv���sd�l �a,e �,t�ss��-�7z� <br />d� 8�,��r��.�� p�,�c�r��x�T — ��4 � � ( <br />Rl�u� u>r b � y ��1 /�fe .���QI � <br />�q. 9� ' <br />--�--- <br />PERMIT IS VALID FOR 160 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DL-:PARTMENT APPROVALS <br />APPROVEO AS CONSTR ICTED �A�E <br />ORIVEWQY SECTION <br />�— j I" LIP __� <br />I 30�� �—�3�,� <br />r• <br />The unders�gce0 owner herehy agrees 10 hold anA save harmless <br />1hc City ol Evereit Imm any and all claims lor damages, cosis. <br />e.penses. or causes ol action Ihal ma� anse because ol inslallation <br />and mamtena�ce ol Ihe m�pmvemenl or othe� ngh4ol-way use <br />bere�0 OpP�ieA lor an(1lulih2t 09ree5 t0 removC Same u0un nOb[e <br />irom �he Cny and lo replace publ¢ pwperty tlamagcd �nere�y. <br />� <br />SiGNn*unE 0� APruC/rvi <br />2 �' � 1 �..�v <br />nU0HE5S <br />�_���-Tl,,a,, 9 �au I <br />u�r zir <br />s5z-31G! <br />r[�Er��or�E rvun�o[n niiEnNait <br />'/" � �7 <br />DAiE <br />� REFERENCECOPY �ee 1978 <br />