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e <br /> . eren <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> - Type or pnnt clearly w�th mk <br /> PRESS HARD - YOU ARE MAKING COPIES 9O <br /> PUBLIC WORKS <br /> EVERETT, WASHINGTON _� PERMIT NO.�— <br />� APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANV: I ��(•. � (;� � � '�C.C,� r ��1 <br /> HEREBY APPLIES FOR PERMISSION TO ��V�i�-` Li►`-I�/f�///�� %'/ ����` �-� �'�/' / <br /> u/� i t� rl f��s��'` ' f�:'yy/y� T --- �: r r �i,JftS!"y <br /> �+_�� � <br /> AT THE FOLLOWIiJG LOCATION I C� 1� S ' � U� � � • <br /> 4'-�''�' <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACFIED: �� <br /> _ ' t-�':' �-1 v e � k`_�-- -- <br /> �� i�e <br /> pwie d t <br /> --- --T - <br /> � � <br /> �I� �=% ' � t ���te1 J . <br /> � Fr .�5�„5 <br /> ,-d� �l, i u<_ ���.� �j <br /> � 'J/ <br /> d, � � <br /> , L i <br /> .,� I <br /> �, - � <br /> � HECEIVED I --L i <br /> __; r__ _ .___- - J' i <br /> i. J i <br /> ��` <br /> --� 1 1980 <br /> DRIVEwAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � �! <br /> I <br /> COPY OF THIS APPUCATION TO BE POSTED r� f i" �IP <br /> ON JOBSITE. I _�� <br /> � CALL FOR INSPECTION 259-881 1 t'30;t'— — 30" <br /> I 24 HOURS BEFORE CONSTRUCTION Tne undersigned owner ne«oY T9,e�s �o hold antl savc harmles� <br /> � Ihe City ol Everelt imm any and nll claims �or damages, cosls. <br /> �I evpenses.or causes ol action that may anse because ol ins!altalmn <br /> antl mainlenance of Ine imVrovemen� or olher nqh4ol-way use <br /> hmelo a006ed lo�and lurlhci dyrees IO remove SBme u0on nol�te <br /> iiram Ine City ana to reulace publie properry Uamaged Ihereby. <br /> DEPARTMENT APPROVAL�._ .- <br /> r�-^--' `•. <br /> � <br /> isr.we�v ') co�ar. ,�a�ior�s , <br /> I I <br /> ❑�i�WAGE � iRAFFIC \ ,� � �' I �/ <br /> j � � � � '� � j 1 / I ,���� � ��� �i' i <br /> i , _ <br /> �ypJEp � P�ANNWG � SiGNniUPEOFpPv�iCAM _ <br /> j =�' � l, �.tlS- -"1`��� �UP ,St <br /> S�nEEr nonr�ess <br /> �. � �/� f� <br /> � ��,,�<��-t_ 4�,���l <br /> U V.'� "✓ J� � arr , zia <br /> APPRO ED FOR CONS FU ION DArE ,3 5 3 _ ��,S� <br /> A�I TEIEVMONE NUMUEIi ALLEFNFIE <br /> ON RU J� ��A�E Dai[ <br /> COI:S i i 1UJ i IOi:ii.S GUILT �EE 7978 <br />