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everen <br />Q APPLICATION FOR RIGHT-OF-WAY �JSE PERMIT <br />vType or print cleatly with mA <br />PRESS HARD - YOU ARE MAKING COPIES <br />PU6LIC WORKS <br />EVERET'i, WASHINGTON <br />PERMIT NO._L/�r� <br />APPLICANT (UNDERSIGNLD) AND FIRM REPRESENTED, IF qNY: J ���!�� � L(,�L� �A�/1 /NG 1 <br />/ <br />HER,FBV APPUES FOR PERMISSION TO ��o�r�ru�T ^.3 � I/ (/.�(�J� <br />� �� / /�. � C . <br />IAT THE FOLLOWING LOCATION� _ -- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />/ /' � � <br />P�ReV11T IS VALID FOR 60 UAYS <br />COPY OF THIS APPLICATION Tt� BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFOP.E CONSTRUCTION <br />DEPARTMENT APPROVALS <br />i .�.��NaGE <br />�.;. • [ rt <br />;�, -- - <br />COMMUNICP 1 iONS <br />r/i nNwqp <br />�/ � / /�—` <br />s� JJ- �:J <br />�nPPr vEo FOR C N� UC11oN —��rE � <br />�,)� �� � -" . <br />, <br />-�vt�vovEonscr.a:,i�,uc,,,,,, -- --- ---,r,,,T <br />GNNEWAv SECTiON <br />I-- _ _ _ _-,� <br />I � 1 ��� LIP ---'1 <br />J <br />� 30" � _ I 30" I <br />�t,. �.� <br />�i�e untlersigneC owner �ereby agrees lo hola an0 save harnii��-,c. <br />n�c C,ty ol Everell Irom any anC nll claims lor tlamagcs. ivr.t-�. <br />Cxpe�l5l;. 01 CPu505 OI dCli00 Ihd� mBy dfbC bBG1V5C 01 In51dP.lpo�� <br />an� rnaintene�ce ol the improvemeni or plher nghi�ol-wav ��.� <br />�`C�CIO dp1�LCd lOf qlld II�f�M1C! dJlfC5I0 �EII�OVC Sflli1C Il(�Oli m�v. <br />1 <br />t���^� ihi'- Giy an0 lo rePlace PubLc pioVertY tlamagetl lin•n�n. <br />�(Y���LI�L/` V ���� <br />SLryAiUqFO� D��uLNNi <br />�°-�ak —�f9 <br />1s/�.s>.�l� � ��'a.�.3 <br />Urr — tin — _ <br />�,7j � �-�.-� <br />tLIEPH�11d0EN ql1CPNFlE <br />�:�,� � �� -- <br />.,._.._._ ._..__— _ _ _ ._- ._.__._— - —_ <br />1978 <br />