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i - <br />I <br />� <br />Ieveretl <br />' Q APPLICATIOiV FOR RIGHT-OF-WAY USE PERMIT <br />� V Type or print clearly wllh mk <br />� PRESS HARD - YOU ARE MAKING COPIES <br />� PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESE�TED, IF ANY: S Fl T� 'C.' <br />HEREBY APpLIES FOR PERMISSION TO �' S\ c X� S� ��'1 r �� <br />PERMIT NO. -3 7 <br />�u��`�,hc15 <br />AT THE FOILOWING LOCATION �� `� F� �, C V f' Y C�T- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� ! <br />� � , G. �"����� 1./1 ��^-"l�—� <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POST�D <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-691 � <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />$EWER COMMUNICqTIONS <br />ORRINRGE TRnF(IC <br />W�TER PLANNING <br />CONSTRUCTION/NS BUILT <br />S �2u n•� �'�1� � �oR �l � t1 AVP <br />292p Tf�n�rno/ St- <br />DRIVEWAY SECTION <br />f.—_— —_� <br />� t I�� LIP � <br />L30'�I_ �3 �� <br />i <br />T�e undersigne0 owner here�y eprees to holE en0 save harmlesa <br />I�e Cily ol Everett irom any anC ell cleims lor demeges. cOsls. <br />evpenses. or causes ol action tbat mey nnse because ol instellation <br />and mamtennnce ol t�e nnOmvemenl or ot�ei ng�4ol�way use <br />hereto applitb br an0 lurlher agrees to remove same v0on noi¢e <br />Irom Ihe Ctly an0 �o replace pv�bt o�ovPny aamageA Ine�e�p, <br />A � (c. <br />flo y- <br />1�. �., <br />— p vc'. �/ uJ , <br />IJAs! � c/PzCi Z <br />IIP <br />ALiERNl�tE <br />R <br />1978 <br />� . ' <br />