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.2fln <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleatly wl�h mk <br />PRESS HAqD � YOU ARE MAKING COPIES 7ij/�ti� <br />PUBIIC WORKS � <br />EVERETT, WASHINGTON PERMIT NO.�._ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />1 �� �� - ,, <br />HEREBY APPLIES FOR PEFiMISSION TO =L'��'� �' '� � r "L'� �L' t� L'�� <br />ATTHEFOLLOWWCoLOCATION !!�� ! , -. ���I � � F� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� C - -" -�-�-�� ���-� <br />�� ,�z�/�� <br />a� <br />� <br />�� a� .-� �� ? <br />iiERM1T IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 7 <br />24 HOURS BEFORE CONSTRUCTIO� <br />DEPARTMENT APPROVALS <br />SEWEIi <br />DFAINM1G[ <br />APPqOVEDFOR G N5INUGTION <br />GOMMUNIC�tiONS <br />DRIVEWAY SECTION <br />� � <br />� j I'� LIP <br />�30„ — �30„ <br />Tne unaersigned owner hereby ag�een to holA an0 save harmicss <br />Ihe C'tly ol Everett Irom any an0 all claims br aamagea cosis. <br />e�pen5es. or causes oi �ction �hal may anse becaust� o� �.nstailation <br />on� mainlenan[e N �he impiovemenl m o1M1er uphl�pl�way u5e <br />imrelo applred for antl lurl�er agrees b remove san^ upon nobce <br />Irom I�c Cily 2ntl lo replacc publ¢ prOV���Y dam „ed ;�eieby. <br />TRAf FIL /y / <br />/��/� `�./. �_ � — <br />PIANNING SIGNFLUF,E)O� AP�IiCPNi <br />T'• v i.5'a.� 3C- 3 <br />— nooa[ss / [ �/ <br />�%�✓K. � / • o [.://� % .� �.,;�.' <br />a?v <br />APVFOVED ASCONSTRUGTFD DATE <br />li: . <br />jl \ � "d�'i(_ <br />1ELE�'HON[ NUMBER A� ��A�E <br />� Z 7`-� %Li —.. - _ <br />nnrE <br />'�� 197g <br />