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���Fi.iCATiON FOi� RIGHT-OF-1iVAY <br />Typ� or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PERMIT NO. �0� <br />/��/Z l �"���— <br />HEREBY AFPLIES FOR PERM�SSION TO_L �� G'� Iy //�� U I7- � 9� /�/' Y! <br />AT THE FCILOWING LOCATION %�"�✓ TA /N A%Z � G/` �V ��` �= � ���� Sh <br />1_�L—� —C'o <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br />�,{i( `��- <br />CONSTRUCTION <br />s*neer � <br />c�'�,� � r�c. �-5 �(� <br />PPROVED FOR C RU TION eA*E <br />i <br />��it�d�� -?-/7-�j <br />�APPROVED AS CONSTRUCT� �A�E <br />/ . <br />� � . L(�-�c� �.[� � ,U�- <br />!/ <br />�� j I'� LIP <br />�30� �� 30" � <br />T—� <br />Tho un4ersigne0 owner hereby agrees to hold ana seve hermless <br />t�e City ol Everett irom any and all claims lor tlamages, msis. <br />eKpenses. or <auses ol action IFaI may qrise because ol in•.,9lalron <br />nn� mainlenanr.c ol Ihe improvemenl or uthcr righ4�,l-wa�' use <br />herclo appliea lor an0 lurtlier aqrees �o remove same �pon ni4¢e <br />Oom �ne Gly ano Ic rrplace pubhc wow'��Y aamag•a Ihere�y. <br />�� �� <br />sicr�nruaE oF aPn�icnr�t <br />�D� T /��t H iPA � k <br />Aooness <br />Er��F � 1�/�s h y�,1a3 <br />��.. c�a�-C� �.n<<�F o� <br />� s�- 8s��r - �. �, i i M <br />TELEPMONE NUMOEA Al1ENNAtE <br />