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everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />v Type or print cleerly with ink <br />PRESS HAflD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON PERMIT NO. 7� <br />1i <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: 1� I r �, ����I i� ��+ -�� ��I ud j P �/ <br />HEREBY APPLIES FOR PERMISSION TO ��.��`- f1 '>� Y�; C� c`-j7 4Lw (� 2� I"�� C I ii VP ( l' IIr „i i:ii .7irlilOui i.. ��� <br />ATiHEFOLLOWINGLOCATION 'rIL7� L\�%/���1 ,��C` <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />/ <br />SEW[R <br />onniNnce <br />IVPiER <br />r <br />� <br />� � <br />S j <br />� � � zs ���az s.�l �1�"Ol '(.Jdy �iNP � <br />� � �dqo�A�w��rovewu.-i I��+� <br />_--r f (J <br />� � V <br />C ��(� <br />/ lv <br />�� i 'i � : � ii <br />�a��.�.,�� ���r�K��H��� <br />`_ 2 �a ! <br />�p(rst E a st� <br />�ERM1I.JS-YALID FOR 60 DAYS <br />S O THIS APPLICATION T E POSTED <br />JOBSITE. \ <br />LL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNICPTI�NS <br />PIRNNING <br />, <br />P ROVFD FOR 5T1 UCTION _- �OAI[�� <br />/, � ''J <br />� /i �� /� <br />A VE AS CO STR CTE DniE <br />CONSTRUCTION/AS BUILT <br />. A„_cj� � � � Uy{�o�� /oc�� <br />F� <br />I �- a <br />� � �., be �s�� b ! � �� -� <br />e�e�a�t �a� _ � <br />��� �� e,t�� I�S��Q�f�� ,r� ��P1�, <br />; <br />ORIVEWAY SECTION <br />��� " � ��l�. <br />� ( ; i <br />I'� LI � <br />30" _ ( . � 30" <br />The undeisignetl uwner nereEy aarees to holtl end seve hermless <br />Ihe City of Everetl Imm any antl all claims lor damages. <osts. <br />e+penses, or cnuses of aclion ihat may arise because Gf inslallalion <br />an� mamtenance oi Ihe impmvement or otnv nghLOLway use <br />IIClEIO dppllC(f 10! 2n0 IUfIhCf dqICCS t0 fCf110vC SBmC upOn np11C¢ <br />Imm Ne Cily an0 lo replace pu��ic propetly Aamaged I�eieGy. <br />x � �— <br />SIG RE Of A[� .AW <br />u ��o ;� <br />: o: � <br />rl E55 <br />��., .� i �, ��! 9� 0 3 <br />zir <br />'`_a_��/G � � 3 v� -oa v�, <br />lELEPNO NUM�EH ALi6qNRi[ <br />' �.� i .�, 9 � 9 - <br />Onl_ <br />}� ,�, � R... <br />`Ec 1978 <br />