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everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vTypo o� prml clearly wtlh mk <br />PRESS HAiiD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />LVERETT, WASHINGTON PERMIT NO.B� �Z-- <br />APPLICANT (UN�ERSIGNED) AND PIRM REPFESENTED, IF ANV: L� N US � �_�J� h o/�_ _� <br />HEREBY APPLIES FOR PEAMISSION TO USe E7� �S'�'���C C/�� • J�' W(.��-1 <br />AT THE FOLLOWING LOCATION /1.Z 0 I�CJC�I G LQ f� � � J[ i�e � 1/1 1 O� _ <br />ORAWING (WCRK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT 1� NALID FOR �O DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRU�TION <br />5[WER <br />ORnINRCE <br />DEPARTMENT APPROVALS <br />GOMIAUNIC4110N5 <br />iRFFfIL <br />WATER PIANNiNG <br />DRIVEWAY SECTION <br />�' LIP <br />I 30" I I 30" I <br />Thc unUersignetl ownor hmc�y agree� to holJ entl save harmless <br />Ihe Cny ol Evere!1 Irom nny flnd all cloims lor demages. cos�s. <br />u�p?nses, or causes ol 0<lior�. I�at may ense because ol inslnll�lion <br />nntl mamlonnnce ol Ihe improvoment or olhm nghLol-way usc <br />he�L•IO dppiied IV� .lntl Iu�I�Cf dJ/¢CS 10 �l`mOVC Sflf1iC upOn nOI�LC <br />Irom t�c C�ly an0 to �c0lace publ¢ pioperly qnmaged Ihe�eby. <br />„ir,Nnr nEornrr�rv� � �� <br />/1 <Q�CJC( �__,�n n � <br />ADDP[ti; � <br />E� � r i�' ---1`t�Z4,�-- <br />Crtv bv <br />353- 9129 <br />tElLl'r�ONL NUMFICR Ai1ENNAlE <br />2--9 -2 - r/ ----- <br />nnr[ <br />T <br />1978 <br />