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� ry�s� <br />��n <br />� APPLICATION FOR RlGHT-OF-WAY USE PERMIT <br />Type oi 7rin1 cleerty wtlh mk <br />PRESS HARD - Y�'JU ARE MAKING COPIES <br />PUBIIC WORKS S� ZOS� <br />EVERETT, WASHIN�TON PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND F�RM PEPRESENTED, I�:ANV:_iGQ���i �p S � EII/ 5� <br />HEREBY APPLIES FOR PERMISSION TO A X c r-5 5 +/.�/ P w o I�r-V <br />AT THE FOLIOWING LOCATION ..3 j�.O R JCr�� E R� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />GC�/`� ` <br />r � <br />��i �:'- Fn� <br />- � � � <br />�� <br />� ��� . <br />PERMIT 18 VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-991 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />0(i�INAGE <br />DEPARTMENT APPROVALS <br />COMMUNiGAttONS <br />iRFGPC <br />,� - PIPNNiNG <br />rl �"i � � _ <br />� �., � <br />.. <br />i <br />� <br />:' '� �. ;�. ,� /r� <br />C N U t / —^_..�. �nre � <br />\\TT7Q'1 � ��i �TIJ .I _ I i.�' <br />ORIVEWAY SECTION <br />I'� LIP � <br />igp'• � �3C� <br />•t <br />The unCersigneC owner here0y ngrees lo hold ana save harmltss <br />Ne Clly ol [verelt Irom eny en0 all clalms lor damages, cosls. <br />enprmes. or cxuses ol ectlon t�at mny anse because o� �installs.wn <br />antl maintenance ol I�e impmvemml oi olhcr ngh4obway �se <br />M1erelo apP��eO �or dnE luriner agrees to remove same upon nolme <br />Imm �be C��y an0 �c replace pu�bc O�oOerty 4rmage0 Ine�eby. <br />/ ` <br />�l i /J� <br />/ � � _ <br />�- L,ll'� . L/" • � � <br />SIGNI•iL�E Of n0 1CANl <br />— �'` ' c L .:� r� P <br />no�EiSFYP 7�J'� Y!) ��i'� <br />crtv Dv <br />�LEPIIONE NUMpEOR � tl 4LlERN4iE <br />�-� � O� —_. <br />❑A�E <br />CONS�iiiUC�ilOiJiA � f3Llll_T �EE <br />1978 <br />