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0 <br /> everetl <br /> APPLICATION FORCRof PGHTYOIFnkWAY USE PERMIT <br /> Type PRESS HARD - YOU ARE MAKING COPIES <br /> PERMIT NO.��— <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON <br /> F ANY: - 1 <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, <br /> HEREBY APPLIES FOR PERMISSION TO —U 7 <br /> - <br /> ---- <br /> AT THE FOLLOWING LOCATION___— <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> /I•n, N.c�,,,,-�,'�j.� ��,-•1�.(1/ 7,e ����'' '`'rQ �0.%lr,��,,,✓1„u.,�•�L/ �,A'�/ /'- <br /> Q <br /> 0 <br /> I <br /> pHl�,�{.WAY SECTION <br /> PERMaT IS VALID FOR 60 DAVS �— -- <br /> j I .33� <br /> COPY OF THIc APPLICATION TO BE POSTED 3 __11" LI_�---�T <br /> ON JOBSITE. 881 1 <br /> CALL FOR INSPECTION 259— ees to nolo ane sate narmlaee <br /> 24 HOURS BEFORE CONSTRUCTION me undersign, <br /> nveoi EYa uWlrom any and ell clelme for aamaBes, weu. <br /> eapenfes.or causes of action Inas may arise because of m1. <br /> etelleuoSo <br /> n <br /> and maintenance for and W'herinerra9 a to 0emoveITTr I'm upon Po anon e <br /> nerelo applied <br /> Nom INe pity and to re7lete public properly tleme0ad inefaby. <br /> DEPARTMENT APPROVALS <br /> ILIOF .Ir <br /> � <br /> — COMMUNICATIONS Y <br /> T SEWER C- <br /> RAiRD NA W- <br /> ORAINAO� �/ _ S� Y � )/ <br /> SIDNATURE Or Ap IDANI <br /> pE�NNING / <br /> WATER __ ADDRESS /A 9 Sa ZiO <br /> _-4 !Y- F <br /> BTREEt xr///1 — <br /> D1— ? ALTERNATE <br /> / µ1ERNAlE <br /> TELEPHONE ER <br /> 4 <br /> v p Y <br /> / DATE <br /> A IU <br /> CONSTRUCTION/AS BUILT TEE <br />