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re�eretl <br />I� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or pnnl Ucarly with ink <br />i'HESS lil�RD - 1 OU 119� I<IAKING COPIE� <br />PUBLIC 4VOqK5 <br />EVERETT, WASHINGTON PERMIT NO. _„�� �-'_L' �- . <br />-� <br />APPLICANT (UNDERSIGNED) AND fIRM REPRESENTED. IF ANY:���� �V,������ __° „� y�,yY, �i�t,� �.lr•-�-�-�..},.' <br />y <br />HEREBY APPUES FOR PERMISSION TO_LC1_y'L'�11'N(� _(,�_Q��] IC Y _ <br />ATTHEPOLLOWINGLOCP'YlN VJI _�,�_/I,,.� al._.�_�_,�b� ���{' r)� �yn���"5 'C.'`b� CiC�.Ci;f_J,;,_. <br />, v <br />tJ �ti� �"v.Jn O4 L4�ei:.l1� <br />DRAWING (WORK Tn dE DONE) OR THREE PiANS ATTACHED� ��/lj � t� S'�U�� ,�'_d,Qo� <br />�.-��,.-�, �..�� . y.����.-J, <br />��=; ..: .- <��,5�_ <br />`� 3 �.� <br />-_,t'rv��•`- <br />�v. '�'.�.'i <br />� l � __�,�,,,.� . ;.. <br />1't-�--� , �i- �v� �.-_ � ��� �n ..,� <br />�.�..��� WN_ �f t��M1.lf��� �.. <br />.� i <' <'� . <br />/'��__ <br />� i <br />. . ,.� <br />•� �� n_ � �... . . . <br />� ��� � <br />�.. \ <br />j� _ , �%--�% <br />�c� �c �� <br />� � <br />� <br />, <br />��- � ___ - — <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OP THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IfllSPEC9i ION 259-881 A <br />24 HCURS BEFORE CQNSTRUCTION <br />DEPARTMENI'APPROVALS <br />'.t".n�. - COMNUIlICATIONS. -� <br />i I: <br />DI�AIN4GE iRAFfIL . i-- <br />i� �,�' <br />P!%,�CI1 PLANNING <br />IqEEi �/:=1.�.) '��, �1 �� <br />� �1 . ���1 �il�,: , <br />-��'�'i�OVEP r�R CONSTRUGTiON <br />aPFG�iVI ^ i„ "h)':;lrl'; if fl - i..,� <br />GRIVf.WAY SECTIpN <br />I�----- -- ----� <br />� I'� LIP �1 <br />J <br />L30'� _ _ 30" I <br />i- P, <br />The untlersigne0 owner �ereby ngrees lo hold enE savo narn�ir,;. <br />Ihe Ciry cl EverMl Irom nny and all claims lor Eamages. ca.is. <br />e�pense5. or cause5 OI 3c�ion �IIaI mpy pn5e bCtduse 01 ms�d�lat��on <br />antl mainlenance ol Ihe imptuvemenl or o1M1cr ngh�-ol�wa: u,� <br />he�el0 appLed lor und lur��cr llqiees lo �emove same upon m,irz,� <br />liom thr CiPI an<I lo rcP'�ncP VUULc P�oferll �anidOr�t Rn��� p� <br />�DDRE55 <br />CITV (IP <br />i(�Ei'NONE NUM�EN n�+EPN�iF <br />DaIC <br />