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eteren <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prinl cleerly with ink <br />COPIE� <br />PRESS HARD - YOU ARE NiAKING � <br />PUBUC WORKS �� ,�� n` PERMIT NO.?��`-� <br />EVERETT. WASHINGTON �� <br />qPPLICANT (UNDERSIGNED) AND FIRM REPFESENTED, IF <br />HEREBV APPLIES FOR PERMISSION TO_ ; <br />. •� �/ %� N <br />� <br />�� <br />AT THE FOLLOWING LOCATION_ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />��dF�.iC_ ��/7/ZJ�J/� � <br />Pd,emii �` " 3u,— nJoi <br />1,�2/L �c��rl/��,� �xd � ,�/ <br />l' S/ti � S."� Ti � <br />j'o f U.3� �c_ <br />/,��-2"�- � � _3/z ���'� <br />PERMIT !S V!lLID FOR 60 UAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR EidSPECTI�N 259-887 7 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />1RRFPIC <br />pPPIHA7E <br />PLANNWG <br />WATER <br />STREE <br />APPROVED FOR CO'�STRUCT��N <br />OAT� <br />onrE <br />qPPROVEO �S CONSINUCTE� <br />i� <br />DRIVEWA� SECTION <br />i <br />I" L�P <br />---- <br />30'— , � —_ � 30 <br />The undersigned owner hera0y agrcos lo hotd en0 save �armloes <br />Ihe Cily o� Everell Irom any end ell claims lar tleme9es, cosls. <br />Fl�Ve�ses. or ceuses ol nctian IOaI mey anse Eecause ol installetio� <br />an0 ma�nlenance o' tne imprmement or ol�er rig�l-o4wey use <br />�e�eto ap0��ed lor and Iuriher ag�ecs lo �emove same upon nobce <br />Iwm Ihe Cily and lo replace Oublic pwpe�ty damageC Ihereby <br />� �� �' � � � ALt[RN�1E <br />IEIEPMONE NUMUU� <br />� -Z/-%9 <br />on,e <br />1978 <br />k <br />�� <br />