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- i� � ���.�n <br /> j � APPLICATIOIN FOR RIGHT-OF-WAY USE PERMIT � <br /> I Type or prict tleady with mk <br /> I PRESS HARD - VOU ARE MAKING COPIES I <br /> i PUBLIC WOHKS PERMIT NO. �� ' � � <br /> EVERETT,WASHINGTON I <br /> APPLICANT (UNDERSIGNED) AND FIflM REPRESENTED. IF ANV: �, <br /> � HEREBY APPL�ES FOR PERMISSION TO • ��a —�, . I <br /> II . - <br /> I AT THE FOLLOWING LOCATION S'q 3 o KaS � � � �//'�' !_ �r �� � <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> FX;S.-irV a- S�IJ G�i cl C .r C %li?c liN�>/liJiiJl•.�D --- ilrv y ��J�i�i/�•� /��'v'�_ I <br /> II /O �Cfjl/'�` /�U,e'���l� �O�V 5 i?1UC Tia`n/ lvr[L fj•= .C�6ii-l�i1 r1✓J O�� F%f�l7UUf/J I <br /> I /Z'+�rl il.z.�[i�FE� i� Ti1� fud[iC /��.�lKS /i✓Si�:�.O,ls SiIT�'Si:Ki:'�i✓, I <br /> I , i/C�2.prJ r��G -Nr�J /h;.ii�.. S , 1i I <br /> /=X/Si�/✓C— /�A�/✓6�/�/��S S//�uCd �2- U — <br /> i1' /'X�Sii/✓L �O� C /I)G'.�i I� <br /> I N;i� i)Ji✓�!C/�/c�s i/i-Jur TC� iir /ivSii-1[Cci� � <br /> fj.=. %G.-�ICCy �'�.i/OJrO ibd) r.�;i�lilf�!] i���v/J i�iTi✓vGe.-1, Ld�iJ.-2:�✓ I <br /> � � " i" !'�.28 /S <br /> > •u /� Lci;/,-.��.✓_ ��iv� (��r ii✓� G''• � G � <br /> /-1N/) t�)iST�/�lh' /J�• /ui ' � <br /> /JG': /aLL O!J rr;�. I <br /> I _ s�nu-eu,— ati° r�l,r��.� c�.� m <br /> /-JtL �On�F�2r'T� IPyA�aw/[5 /l7[.s.— Fj-= � <br /> I Nyilac'si r_"1P•I,cldreo✓ Tc•�v• , �, <br /> � <br /> � <br /> I <br /> I I <br /> I DRNEN•1Y 5ECTfON I <br /> I � � <br /> iPERMIT IS VALID FOR 60 DAYS � <br /> I CONY OF THIS APPLICATIUN TO BE POSTED i" LIP <br /> � ON JOBSITE. 30" �30" <br /> I CA�.L FOR INSPECTOON 259-881 1 ' <br /> :t 4 HOURS BEFORE CONSTRUCTION Th� undersigned owner here0y agrees lo hold anE snve harmless �, <br /> Ihc Cily o� Ewretl Irom any antl all claims lor 4Tm0ge5. wsls. il <br /> I� expenses.or causes o1 ection tha:mny ansu because ol inslallation <br /> an0 mnimenancc o� Ihe improvement or o1M1er ngb�-ol�way vse I <br /> II he�eto a0pLe4 loe nnA lu�lhe� a9reC5!o remOve sim2 upon notice II <br /> imm Ihe C�ty and lo �ep�ace pubhc Oroperly EPmaged t�ereby <br /> ' DEPARTMENT APPROVALS <br /> � <br /> i COMMUNIUTiONS � <br /> tir.wcn <br /> DRAINRGE LRAFfIC �.�.. �+Li—/ � - <br /> �I SIGNAIURC O[FPPLICANI I <br /> \VNTER VIANNING . � ' <br /> G9i� r.�.- ,.��� <br /> �� nno�vEss• � ' <br /> S,AEE. gf2� 3 , <br /> i �� e� _�� „� . <br /> � >/�t�/ro `"� � �' <br /> (�• �� r )T �t�ni[ ��� ��U(] �i <br /> AVPROVED fO!1 GONSI NU�i iON / ql i CNNAIE <br /> iEl[VMONC NUMllElf <br /> � _�,1� � ,,Cs�o�� '� ���� '� -- � <br /> i _ — <br /> onr o"� / <br /> P) <br /> VLD n5 CONSTPUCt � <br /> I cor!� � ��ucnu�� _�: �:��.n�� �,� is�a <br />