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<br /> APPLICATlON FOR RIGHT-OF-WAY USE PERMIT
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<br /> PUBLIJ WbRKS
<br /> evEaEn,wasHwc7oN PERMIT NO. 7 Z
<br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:��/. � I A n� BL i�('� IC
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<br /> DRAWING (WORK TO BE DONE) OR 'FFiqEEpLANS ATTACHED:
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<br /> PERMIT IS VALID FOR 60 LIAVS � _ `
<br /> COPY OF 7HIS APPLICATION TO BE POSTED I" LIP �
<br /> ON dOBSITE. J
<br /> CALL FOR INSPECTION 259-881 1 �..30"�_____ �30" I
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<br /> 24 HOURS BEFORE CONSTRUCTION
<br /> Tne untlersignetl owner hereby agrees lo holrl and save haimicss
<br /> !rr Qty ol Everett Irom any antl ell claims lor Camage,. cos�s.
<br /> .•tpense5.or causes ol atbon Ihat may anse�ecause ol inslallahon
<br /> antl rt�.awlen�nce ol Ihe improvement or other righl�o�-way use
<br /> nproto d0phed lor antl IwNPr agrees lo�emove samn u0on noL[c
<br /> DEPARTMENT APPROVALS �rom in� eay ��o ��, ��•n��ce n��ni,c u,o�,�,rv va�,agm n,���ny
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