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; everen I <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prini cleatly wilh mk I � <br /> FAESS HAND- YOU AflE MAKING COPIES � <br /> iFUBLIC WORKS � <br /> iEVERETT,WASHINGTON PER�dIT NO. /f v/ � <br /> i <br /> APPUCANT�UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: �AGE. 1�UE�.OPME�ar �J.�, I <br /> IHEREBY APpLIES FOR PE9MIS$ION TO . . I <br /> I <br /> AT THE FOLLOWING LOCATION S Z �3 �. � ' � SC'Q �j e.I/S � �9 �J C' I <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> c t0. ss �'�'" f��i���T i� 1P��t{Y-oF- c�R/ i <br /> I � <br /> b��u�u��s��� rn ,Bf �r sT,P.�FT���vi9 r�d,t/ I <br /> � � T �, <br /> � � <br /> i <br /> � � <br /> I , <br /> � <br /> , � <br /> � j <br /> i I <br /> � <br /> ; i <br /> ; � , <br /> � I <br /> � <br /> � <br /> � <br /> i� ORIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS � � i <br /> COPY OF THIS APPLICATION TO BE POSTED � � i^ LIP i <br /> ON JOBSITE. I p � <br /> j CALL FOR INSPECTION 259-881 1 I�j–�i'— ----�+30�� � <br /> ! 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner here�y agrces to �old antl save hermless i <br /> i ihe Ci�y ol Eve�Nt Irom any ana all claims lor Oamages. costs. <br /> i eRpenses.or eauses of dc�lon ihTt mBy anse�ecause ol installabon <br /> antl mainlenance O� ��o improv�inenl or oi�er righ��ol-way ose � <br /> '�, M1e�eio apP��cO lor ana hutner a9iec5�o�emwe snme upon nobce <br /> • � 7MENT APPR�VAL$ �rom me C�ry and to repiace pubi�c nwne�ir aama9ea mereby. I <br /> i <br /> � <br /> � SEWE� COMMUNICFii _ � <br /> �I.�O.E ��'ELOP�yE,Ur,T,� <br /> iOPAINAGE TFAG�IC - / • <br /> � WRiEF nLANNING Si 111RE Oi A/V �CFNt �—C_1<.�_! �I ' � <br /> I511iECT — ����� �' N`�����V �Vn_` �� I <br /> nooaess — <br /> �' \ E�,Err 98�0/ <br /> li � �_II_SV GI{Y / ZII' I <br /> � APPRO D GOR CONSTN ION / pnit p�Sp'��pqS' <br /> � <br /> , 'L � <br /> � �� . / �� � . IREFUOVLt1Ur/,�+f�i pUEf1N/•iC <br /> � ��-_��ia-�r��� � 3/-�t; �.�v,�, is, �9so _ ' <br /> � APPR AS CON T U ED DniE OArF <br /> �I�I I <br /> ��C�iV;� I :iU(;i-�tl.�.l�.�1:. �'���I�_�� <br /> _ —__ -- —_—._ <br /> ��� _—__ �9�8 <br />