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<br /> � APPLICATI�f�9 ��F� fiIGF-IT-OF—WAY �9Sf� �Ef�fi�ia`�'
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<br /> PRESS HARD - YOU ARE MAKING COPIES
<br /> � PUBLIC WORKS �JJ
<br /> �'�� EVERETT,WASHINGTON PERMIT NO.
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<br /> �, APPLICANT NNDER51GNE0) AND FIRM REPRESENTED, IF ANY' `'�� ��`� .�i� -
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<br /> � HEREBY APPLIES!FOR PERMISSION�O
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<br /> � AT THE FOLLOWING LOCATION �`�� �I � J-� �_— �. Lv •
<br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �
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<br /> S PERMIT !S VALID FOF� 60 DAYS {�— �� '
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<br /> COPY OF THIS APPLICATION TO BE POSTED � i" uP __� � �
<br /> O!N JOBSITE. � 3 I 30����
<br /> CALL FOFt INSPECTION 259-887 1 I"���t'�"
<br /> 24 HOURS BEFORE CONSTRUC710N �
<br /> . The untlersignetl owner hereby agrees to hold and savc liarmiess
<br /> �, ihe City of Evere�t Irom any and all claims lor damages. wsts, I
<br /> eapenses.or causes ol aclion Ihat may anse because ol installahon
<br /> I Jntl mainlenOnce ot tlte �mpro�emenl or olher riqhPul-wey use ��
<br /> � hereto apPlietl for an0 luilher agmes to remove same upon noUce
<br /> � . Irom ihe C�ty and lo replace Vublic DwpeilY tlamagetl inereby. .
<br /> , UEPARTMENT APPROVALS
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