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everetl <br />� APPLICATION FCiR RIGHT-OF-WAY USE PERME�" <br />TyOe or print clearly with mk <br />', � PRESS HARD - YOU ARE MAKING COFIES <br />� PUBLIC WORKS <br />�� EVERETT, WASHINGTON PERMIT NO. '� � <br />� q / / <br />�, APPLICANT (UNDERSIGNED) AN� FIRM REPRCSF.WTED, IF ANY: ��/, C��S7'z�%L r�:.�l t-U Z%� D�� �� �-L <br />HEREBY APPLIES FOR PERMISSION TO ���7y���� �� J /t -� S Y�:�'%r /�/.�/_.��a.4�_f <br />AT THE FOLLOIh'ING LOCATION <br />i/6 ,a-D iPT'�' <br />iDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />; �`'p.� �� �:������- 7��T��9c�%� <br />� <br />�.. ,�„'� �y"�����a ��'��. �.�-�,�� <br />� oU, /� <br />—A� cat:-:_:�;r b:=i�:>C�ii�Ptl (.�7=`%' :T. /!1_!��"�C'�`--rt,.�'�-� <br />SV�e�i i m,�0 rb �P m P�s n e v e.r aoh s� <br />� <br />��inRC� �no� InSi'�1�r.1J � �,p�y� <br />J <br />�—'I-- -----�----- _ . . - _ _ - - _,� <br />- --__ — <br />L�t ✓1 � 'I-�' �4- �t 1 / � O L c � t � � <br />-- --- - - --- -_�,/ /' <br />i . <br />i � � � , , ,.. <br />� <br />�� ., , <br />� � . �� ,, ,,/ <br />i � �� � <br />C�ERMIT LS VALID P1DR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CQL.L FOR IINSPECTIOW Z�9-881 1 <br />24 HOURS BEFQRE CONSTRUCTIOPJ <br />APPROVALS <br />STflEET <br />� 7 z�7y' <br />APPR ED FOR CONSTRUC O oa e <br />�i APPROVEDASCONSTPUCTED . oarE <br />, �J <br />CONSTRUCTION/AS 5�16"f / <br />, <br />oRivEwar secnoN <br />� � <br />�_ jl" LIP <br />�30" T _I_30'� <br />'T' <br />T�e untlersignetl owner hereby agrees to hold antl cove harmless <br />Ihe City ol Everell trom any and all claims br damages. cos�s, <br />expPn525. OI C8u5e5 O� 3L�iOn �hat mHy afiSE beCauSC OI in5t211alion <br />ana mamtenance�ol Ihe imp�ovemenl or o�her righl-of�way use <br />hereio appin ��r antl lurther agrees Io remove same upon nobce <br />Irom Ihe Cn. .intl Io replate publit property AamaqeU IM1ereby. <br />��i/A�O/Isi�'I✓ �N) CJ 1�L <br />nW�`+p�y9�t V� LIGFNI / �/ <br />/�O� O�S7�✓C �u�j 5 .���� <br />no ess <br />�'�� ��a� �s %� Ly,,���? ��-� <br />��,� z�� <br />7��-�ii� <br />iELEPHONE NLIMBER ALiERNAiE <br />I <br />