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r <br /> everen <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMI <br /> Type or print CItArly w IL Ink <br /> F HESS HARD • YOU ARE MAKING COPIES p <br /> PJBLIC WORKS PERMIT NO. For I I.• <br /> '.VEHETT.WASHING FON <br /> APPLICANT (UNDERi1GNED) AND FIRM REPRESENTED, IF <br /> ANY:_C Q11� <br /> HEREBY APPLIES FOR PERMISSION TO- t 1 I CA <br /> 1111� y <br /> AT THE FOLLOWING, LC CATICN__ - <br /> �/ I wo <br /> Cdar� (aea�r r•a tl r�.r...Er <br /> DRAWING (WORK TO BE DONE) OR THREE PLAFS ATTACHkD:�k yAr c .b .f s T hs N'3o•vt <br /> 1t i I, A , <br /> ijz <br /> t , — /� ftJPi7tryi Cie' n4 � <br /> e CLta,4 �� ✓ U w�t �5— <br /> G� l � <br /> LA TI'P IIk/Li � <br /> is /l <br /> J �J•�cf/9 �� GC4`rF�� � �,� t/I �T`r' �,���r/F- <br /> i i 7' <br /> 1 V F I < i�Z•l—Ir� <br /> 4y/ — ✓ 1,�-vLM�q -�— <br /> i <br /> I. lYIS� 1r1S 5/W n-Y C`MT nr[ tAw�/A�/erw.Pyt.K nw�lC�/IL�w.(�nSe.. dOwG �v] 7n rtiL <br /> NIII'\'w 60.111 `tle. fe`fm'f. .X Of 1 re-'OVI.K n�Y �e.r lnG Coco A <br /> .�. E'nF1},n�8 rlwn.IY ShD u(A bt ...� In(�ll Lf\( o-or New <br /> IhO.Yv r�kf If sseu <br /> Pv�\rc1/ {(�J <br /> CM'\OV M1A C.�✓ r[I�1`Me NCW Ar\JC <br /> W4.� IdC ION w�J <br /> a- 4%4' I` c(f,dQ wn, �o ca*ro.. — KI`IOC tI N(i- O (--F C`F G SRP 1S N?�C <br /> A leo w t'D <br /> 3, 411 m-,C. rev. evc11 ,,,.$)- be- •E;nw -CJ- ar 4,M11ctf- Q-4 � <br /> neap ea 4- a r` nnw7.c.^ .ri, s k-r <br /> D IIVEWAY SECTION <br /> PERMIT IS VALID FOR EO DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED — ( I.. LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 �30 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hole and save harmless <br /> the City of Everett From any and all claims for damages. Costs. <br /> rx <br /> pones.or causes of action Istat may arise because of Rlat llialion <br /> and maintenance of the imps Ovii Or crier nglff•ol-way use <br /> hereto applied for and[,,finer agree,10 remove same upon noure <br /> from the City and to replace public pfoceny damaged thereby <br /> DEPARTMENT APPROVALS <br /> l i <br /> GOIAMUNICATIONS <br /> DPAiNAGE ---- TRAFFFC NUalC� <br /> SIGAT ' <br /> PLANNNG <br /> WA <br /> _------ <br /> / <br /> S1N[ET I F, <br /> �CU,, "'a <br /> io <br /> APPR ODATE tF.F-�E HONF N MN - <br /> APPk W DDASCONSTRUT ED DArE OATF --_- <br /> INITIAL INSPECTION REQUESTED TFE 1978 <br />