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<br /> APPLICATION FOR RIGHT-CIF-WAY USE PERMIT
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<br /> �� PR�SS HARD - YOU ARE MAKING COPIES .
<br /> PUBLIC WORKS �J(� �
<br /> EVERETT,WASHINGTON PERMIT NO. / J t �� �I
<br /> APPLICANT�UNDERSIGNED) AND FIRM REPpES[NTED, IF ANY:_.L/�.I V C�1.��� ��E���C-� SE _(_�1..��..y I
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<br /> HEREBY APPLIES FOR PEPMISSION TO � NST�I..�-LLJ!—��T�E.S ��A���--)-�^'��U �� .
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<br /> ' AT THE FOLL04VING LO(:ATION_ �✓ II� T N S f , S• � r I
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<br /> � DRAWING (WORK TO B DONE) OR THREE PLANS ATTACHED: L 1 Il + . � j
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<br /> IDRIVEWQY SEC ��ON �
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<br /> PERMIT IS VALID FOR 60 DAVS {._ _ �-.J
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<br /> I COPY OF THlS AFPLICATION TO BE POSTED i�� �� T
<br /> � ON JOBS{TE. I 30��___� 30'
<br /> ! CALL FOR INSPECTION 259-881 1 t'— � �
<br /> �I 24 HOURS BEFORE CONSTRUCTION The undersigned owner nereby ngnea to hold and save narmless I
<br /> Ihe City ol Everett Imm any nnd all r,laims lo� Oamaoe;. wsis.
<br /> espenses.o�cause5 o�aclmn Iha�may�nse Oecause oi installalion
<br /> j ana mxinlenanee ol ihc improremeni or o�her righl-ol�way uee . �
<br /> nereio a0Pbe0 lor and Iw�nei agmes In remove same�,:pon no�me i
<br /> j hom Te City end lo replace pubhc O��Per�y oamag-.�7 theie�y. ,
<br /> L � DEPARTMENT APPHOVALS
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<br /> . � ROV[0 AS CGNSTRUCTEO � [ �A�E j \ ` / 1� '
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<br /> CONSIRUC�I101��AS �IIILT ,�E 1978
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