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evereY _ ..� <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly wflh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />PERMIT NO. 7�/ci'� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ �,�+..� �, t'v'� i', 1[ <br />HEREBY APPLIES FOR PERMISSION TO_ � � � 7'- '; - � r'� , . �.x,i� � /. <br />AT THE FULLOWING LOCATION i%(�. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />._ ► �°%�/ �/rs/�I <br />� ! !�'6�P 76 ��SP°�7e� <br />• J. �S Co1iJ �✓'�ierJ,$'�.. o �c J+� wP �»�or4 ? �S a�l��r� l�va�.� �� 1- e.��� <br />1 <br />,s 1. lv l. J� 5�-r n P'� �.. N ... y c'% Lr o rt,..: = r r!,. ? y.? �,. �, ,. o( ��. n: e r r."� <br />:r NO✓ I! C1Vlilq�-�C <br />4, c�.�Fw�JiTrn�,�'c o., u�rast l�,a.., wo-(���¢ rs /��lo� <br />J`, W�,.�it �e.,.��,'1�.� �.6 n/�ey?c/i�(.���'j.�a L,..,.}�.e.o��� <br />4. F�e� !nr 0� lvPi�-.evQ v.l� =�'(r iiP.+ G�� C�.e� lrl+� wPy.ti'�4 Vuv� � <br />Stiov�t� { 4er� 6n 4 lJ�Oa. rf� p.� e«,.f� �:q <br />/ I / A <br />�� W1,M PYiS'�'I..y Gin�Pr� 5.�ravl�I lJO �r...wraros <br />rG � K� wv� �rh 0•• �•�sr�r. PYiY �� y'1 YE�. /�n'� lE �� <br />U O <br />Q,�i� 3-�4-�9 <br />0' <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEfi <br />ORnIN/GE <br />WRTER <br />DEPARTMENT APPROVALS <br />Tti)c S1�e��d �o �vc�. �r, <br />DRwEwar SECTION <br />� �I" LIP � <br />�se�� �so�� <br />The un0ersigne0 ownen c�reby agrew to hold end save �armless <br />�he Cily o� Evemtt Irom any and all claims for tlamages, cosis. <br />e.penses. or causes ol action that may anse becavse ot inslalia�ion <br />an� mninienanco ol ihe nnprovmnenl o� other ngM1bol-way use <br />he�elo appLeO Ior end lurihc� agreus �o remOvc same upon noLm <br />Irom �he C�ly antl lo rnplatr pubbc proper�y damnged �licie�y <br />COMMU'LCATiONS " <br />TRRLiIC r� li � —y <br />'_.___ ' '/ � <br />; �I <br />PLANNING t� - SIGNAiUPE�Oi I�GP �QAN` _ �:i ��' '� /'' �� <br />. - �. . „�. �. ..,,'" r'�r1'i � <br />IAPPROVED FOR GONSTRUGiION onrE <br />qPPPOVED ASCONSTRUCTEO DniE <br />�.�i (� / � � /, r). �.' � � % C� i.l � <br />cirv ziv <br />�- � 7- 7� d Y <br />1ElEVHONE N��AOER ALiERNRiE <br />1978 <br />� <br />