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everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or pnm clearly wnh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBI�C WORKS <br />EVERETT, WASHINGTON PERMIT NO.�� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY�. J���ST/i0 T�" (�/�/_//�l�s �^/� <br />HEREBV APPLIES FOR PERMISSION TO `V O�—rTiL✓�� /% �T � Q{/ �/� uyj`i <br />/�� 5�� {1�. .L� <br />AT THE FOLLCWING LOCATION /'�' ��' / <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />/ �� /��./'�����l // ,1 /j�i1%�/ji�- <br />,i...._.,- <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-887 1 <br />24 HOURS BEFORE CONSTRUCTION <br />I C:LR <br />���t.INAGF <br />DEPARTMENT APPROVALS <br />COAIp1UNICn1�ONS <br />..���Cq ��ANNiNG / <br />�!�_.. =l <br />�;� rr <br />���y�� � ����� <br />N'P Vfl0 FOfi CON'TH ION nTE <br />f 1 ' `� � <br />�� � --=1� <br />nrre deon5tor15ini�ciio � onrr <br />/ <br />ORIVEWAV SECTION <br />� - — --� <br />f I" LIP —�l <br />�„30�_ I 30" I <br />-�r. �� <br />Tne untler5igne0 owner Oereby agrees �o hold an0 seve harmless <br />mv GIy ol Everett Irom any ana all claims br aamages. costs. <br />espenses. or causes ol aellon I�at may nnso because ol mslalin�ion <br />an� mninirnan�e oi Ihe impmvement or ol�er nght-oi�way i <br />hC�CiO .lpVIiM1 Ipf AlIQ 11:II�Pf pIJfCPS 10 ICf110vC Spl11L` up011 ��O�u.r <br />M1a�i ihr Gily lqtl to �epluce put�Lc proper�y tlnm�gptl ihweCy <br />����`��� � <br />9GNAiUq[ O� APP�IC4N1 <br />PO .c�ok yi q <br />/fiizir�.v,�i� w.K y�v,.�� <br />��,. ��� - <br />8-7 7� aSi9y <br />1ElEPHONC NUM[3Cq ALtENNAiE <br />�.�%,� <br />D41E — <br />...` I�I llll='. i'��.'�.�: ,�, i I. ��� �! y! —_ .— -- �9%8 <br />