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everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly W ith Ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> PERMIT NO. <br /> EVERETT.WASHINGTON <br /> APPLICANT (UNDERSIryED)AND FIRM REPRESENTED, IFF,A�N�Y,�._y,Q --- <br /> HEREBY APPLIES FOR PERMISSION TO <br /> 2 O <br /> � <br /> 2- �. <br /> AT THE FOLLOWING LOCATION 7 �' � <br /> . — <br /> v U-L Y-s�"Sv <br /> ltOtadlET ioVI 5 <br /> t • .may <br /> fgXII •LA-s'IJOtMnQ5X aH jol,w. Q.5t ."CIO V% e- <br /> _� . <br /> -p . L7 <br /> t1 1 LL ` `Pr <br /> $o......� Q �.t..r' \vim` GO w 5�'L'k�=1�0.-� �-.9 �•�� bc- i 4.�Y-e.cX <br /> J <br /> or _ .few,o%je <br /> 11 i. , ( \ <br /> Ex l S"t �v►' (A r L J ew a Sin o.A 1� 10 e4 .: <br /> v►eL i �io w.4ni Elrw ewa <br /> �r �o <br /> w^ew 1 `'lv`TTe/1 vim.U.'S( � e re vvt o in' <br /> yteL.u" SXevact.Uk \y' <br /> `L�e1 ORIVAMN0 4 TION <br /> PERMIT IS VALID FOR 60 DAYS - - <br /> COPY OF THIS APPLICATION TO BE POSTED L +1" LIP <br /> ON JOBSITE. II X30" <br /> CALL FOR INSPECTION 259-881 1 �.-30 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Enron from any and all claims for damages. costs, <br /> ea penes.or causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other right-ol-way use <br /> hereto applied for and further agrees to remove same upon nonce <br /> Irom the City and to replace public properly damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER coMMUNiulloNs - - -- jle-7� <br /> DRAINAGE tRAEEIG <br /> WATER PLANNING SIDNAfRE UOf APPL .ANI <br /> ) <br /> sd / L leJ <br /> SiREEI AD^ \ <br /> DRE.. <br /> Of, <br /> • 0.V/O FO N9N "UN I DATE <br /> tELEPnONE NUMBER At iLRNM[ <br /> O ,29-Fe --/ - 7 /' gU <br /> PR VEDAS ONSTRUCTED DAtE nAt[ <br /> CONSTRUCTION/AS GUILT FIE 1978 <br />