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everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType or pnnt clearly wtlh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS _ /' '— <br />EVERETT. WASHINGTON PERMIT NO._� j� <br />APPLICANT (UNnERSIGNEDI AND FIRM REPRESENTED, IF ANY: S�//r/�S�JD / G('/`I• //f%iLJS /N�j <br />C� A�/ST,I �cT � c� <br />HEREBY APPLIES FOR PERMISSION TO _� �'� _ ���L:Y �(J�j- <br />AT THE FOLLOWING LOCATION � v � v ` 4�,L(� �- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�`��'�'2-�."" ���� V �U'/i�C���^%'('�jP� <br />� �l �G��if�L�/ <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-887 1 <br />24 HOURS BEFORE CONSTRUCTION <br />� :.: :. <br />DEPARTMENT APPROVALS <br />r.or,n�uNicnnor�s <br />..• �:�: — pLANNING/ ./ <br />j r /'�/� <br />_ � -c.u.-�/ � .•f ...1� �� - <br />,�:�,_- <br />� �ii ��/� <br />n����noveo Forv coN vucnoN na <br />�' - � / .� �L <br />, � ��� <br />ni�vi-riv�.ons�r�:;�s�F:ucito� � onte <br />DRNEWAY SECTION <br />� — -� <br />r� � I" LIP --�� <br />L30'�___ 1 30" I <br />i- -i- �1 <br />The un4Msiqnetl awner hereby eB�ees lo �oltl antl save harmh�,�. <br />Ihc C�ty ol Evmcit Imm eny and all claims lor Camages co��' � <br />CHpCn5C5.O�C2u5C50�TCb00lhdtrtl.ty2n5C�CCd115CUIi051dII:C� �. <br />anq mainlenanCC 0� Ihe im0�ovempnt or oiher nghl-O��wav . <br />licrelo apVliea lor ana �urt�e� ag�ees �o remGve sBme u0on c�' . <br />liom Ihe Gly ane to repinCe pubLc pioUerty 00mdge4 Ilv+o�. . <br />pr <br />'l. <br />� <br />--�.,,��,�, - <br />%'i�l.yli� �c-�! -�1��-� <br />rir z�v <br />�.�7- Oyyy <br />IELLI'��0. CNUhIpEN � PLIERNNIE <br />nnr� —� —_ <br />i�'_-�., .'. , .. . . r„ - - -------- - ----- . _.— .-1978- <br />