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� <br />�, e�e�e�� PLICATION FOR �RIGHT-OF-WAY USE PERMIT <br />I � AP TYPe or pnnl clearly wi�h mk <br />� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIG WORKS <br />EVERETT, WASHINGTON <br />PERMIT NO.�� � —_ <br />I <br />_ _ i..1-_ I <br />� APPLICANT (UNDERSIGNED) AND FIRM REPRESENTLD, IF ANY: _�� V b� ��� ' � ! l� <br />��I HEREBY APPLIES FOR PERMISSION TO_ ��' �� �-2L',�- � �'�-'\ C-�-`� <br />AT THE FOLLO�VING LOCATION ��� X A V 1 ���/� Y <br />DRAWING (WORK TO BE DONE) OR'fHREE PLANS ATTACHED: <br />,t <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CA�L FOR INSPECTIOW 259-8� 1 7 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPP.RTMENT APPROVALS <br />I <br />ISEW[R -- �nnnduai:nliONS -- <br />DRM1IN4GE 1RAf11C <br />WAIEN P��Nf:ING �— <br />DRIVEWAY SECTION <br />�+-- � <br />i _ <br />�" LIP <br />�30-.�--- --------..4'30 -i <br />ihe untlersigneG owner hereby agrees Io holtl and save I�armless <br />p�r �itq ol 8vere11 lrom any antl nll claims loi tlnmages. costs. <br />,�.��i��.ces. o� causes oi achon tnat mny n��se because o� instauauon <br />anJ mainlrnqnco of Ihe imp�oremenl J� ni�er ngM1bo6waY ��se <br />nv,�qo ,�pplied lor an� WrlM1er agrces �0 remme �ame dVOn not¢e <br />hnm ihe Cily antl ta �epince V��blic OroVerry anmaged t�emby. <br />���..(/ /; <br />� � V i 1 L�v���L <br />' ,� 3 <br />_ ,,�..,/y_ <br />iELEVHOJE NUMOE AIiENNniE <br />_C' ' � r -- - <br />���, f�!STRUCTIONIf,', P,i!: ' <<� <br />� <br />1978 � <br />