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��� <br />� APPLICATION FOR RIGHT-CyF-WAY USE PERMIT <br />Type or pnnt clearly wl�� ink <br />^RESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOqKS <br />EVERET7, W�SHINGTON <br />APPLICANT(UNDERSIGNED�ANDFIRMREPRESENTED.IFANY:=�'%.�L,�: /J-,..-.- � T;,,�_ <br />HEFEBY APpLIES FOn �ERMISSION TO '- ��� ; . � t�; ._ ^: f��' { <br />AT THE fOLLOWING LOCATION _. . �� ,, � C_ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR' GO D,AYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL �OR INSPECTIOPI 259-8FT1 1 <br />24 HOURS BEFORE CONSTRUCTION <br />-.,7�,:��� - <br />C..�tU� <br />s��itt. <br />D[PARTMENT APPROVALS <br />i:lqqllP��Cn11pNS �� - - <br />TNAF(IC <br />PLFNNMG <br />r� i�" �C�G �� <br />N'FNOV[D FO CONSiRUCTION DntE <br />n�'rrioveu ns �.orvsiiluciEo <br />PERMIT NO. <br />DHiVFWAY SECTION <br />jl" LIP <br />�30�-- --�f•30-•-I <br />TOe untlersigned owner hmeby egrees to holE and save narmless <br />mr Cily ol Everelt Iwm any antl all claims lor aamag�a, costs. <br />�+rnses or causes ol act�on Ihat may anse 7ecause of inslai'�nhun <br />�i�n1 mamlenanGB ol I�e improvemenl or oUier ng�l-ol-way uso <br />n��i�•lo qppLM br :,ntl IuiVim ayrres �o remmo samc upon nuhcr <br />hn�n Pn. (;�If an�t lo rnplpCo pubhc, p�Operiv tlanrtl�Cr1 I�oict>y <br />���// _ j� / <br />'="n/`.L---- <br />5 N4T�IPEV�4P1'(I Af <br />� <br />�✓ <br />%i3 � , 5::�. .l,:,,.. ��.- � /7 <br />nooaEss -- <br />� �"•"'/-° �!k.7l�� <br />crtv iiv - <br />J �_- ���� <br />___� � - <br />��NONENU�i9Ea n�iEUNniE ---- <br />/ <br />?/ � � <br />❑Aip <br />