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� P�L1-.�0 �- q -� <br />everen <br />� � APpLICATION FOR RI�FtT-OF-WAY USE PERMIT <br />I Type or prini cicady wdh mk <br />. PRESS HARD - YOU ARE MAKWG COPIES <br />I� PUBLIC WORKS <br />I EVERETT, WASHINGTON <br />PFRMIT NO. � S 8 <br />. APPLICAN7 (UNDERSIGNED) AND FIRM REPRESEN7ED, IF ANY: L,.n'^ ��-rT � r ��°v`-'� �I <br />I HEREBV APPLIES FOR PERMISSION TO I�C�LqC� Ol�i L A I L' l7 17��CIG. S��i N �1I <br />�; �i���Nr e� C H«�: c N � <br />�. , .� �� „ �/- � ._ I <br />AT THE FOLLOWING LOCATION a�1' � �� �"'� ������`- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />J �i <br />W� �t.qN -rv ?E/�c�cC" -rH� �,�icK SlLT�1 <br />vv�Tr+ /� cv�Ten��-�o�'Ar�y v�uo��eo� <����.J <br />IN .11A�iTl(-'AL wUo17. TNt �/ZC aF '7�H� IUcL`� <br />SlL-N w��L NUT �XCCC�v T�E 5� ZE c�r'- '7�NE <br />?F�ES�/UI 'l'��Cl� j7/21��i-Gt1=�C. �(�I�tiG/` . <br />�� vJ I i.� L X ���o oT F} � t�V C L� /�.l'U�.1 N� <br />PERMIT IS VALID �'OR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITL'. <br />CALL FOR INSPECTION 2Sc9-B87 S <br />24 HOURS BEFORE CONSTRUCTIUN <br />SEWER <br />❑RRINAGE <br />DEPARTMENT APPROVALS <br />COMMLINILATIONS <br />TRAFiIC <br />PLANNING <br />i STPEET <br />��'�Z` � �3 <br />APPROVED F R CONSTRUCTION � iE <br />_�- �/� 7 1 7 �� � <br />II APpR AS CO SiRUCTED OAiE <br />, CONSTRUCTION/AS 6UILT <br />URiVEWAY SECTION <br />� � <br />�_ j I" LIP � <br />I�n^ i I 30" I <br />The un0ersigne� ow'ner �meby agrees to �old an0 save harmless <br />the City ol Everett Irom any and all claims br demages, costs, <br />exnenses. oi causes ot aclion ihat may arise brcause ol installalion <br />And TBrttlPI1dI1CP O� �hC imnruvement oi O�hC� liGh40�-N]y VSP <br />herelo appLeE lor and fur�M1e� agrces lo remove same u0on noiice <br />Irom ihe City an0 to replace public O�operty Oamagetl Iheie�y. <br />�� /' �y� <br />%� � <br />IGNAiU�E ( AGPLICAN <br />as3z v��:� �N� A <br />nooacss <br />Ci/cf2� %8�•�� <br />ci,. zi� <br />:.�5�-/O?Z Z,,�'-/3�'s <br />LELE�NONE NUMBEIi ALLEFN�tE <br />�JU� � �5'�'� _ <br />OaTE <br />'EE—'— 1978 <br />i <br />