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- _ .. • , ' ' - ,..`,�� a.xr;.''tiCc � � �� <br /> � ' ' . . �; a�' <br /> , . , '�. <br /> • � APPLi'C,ATION FOR RIGHT-�F-WAY USE PERMIT '-�' � , ' <br />' . � . . . . . Tyq ar priM cMry r�tn ink� .. ' ;-. .. . ' � • <br /> , PRESS 11ARD-YOU ARE MAKIN(i COPIES a:. <br />..:�lIISLICM0IMCS .' . � - . . <br /> �,�vE11ErT.w�sr�arON � _ `_: PEItMIT NO., .Z1�1�^-= : <br />� APPLICANT(UNDEflSIGHED)AND FIRM REPRESENTED, IF ANY: <br /> � ^ �/ ' _ ' ;'� t , _ <br /> � � ' ��i� <br /> HERESY APPLIES FOR PERMISSIOH TO T 4 � <br /> :i� -. <br /> AT TNE FOLLOWING IOCATION ' � <br /> DRAMIIN�t (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> S <br />� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � — � <br /> COPY OF THIS APPLICATION TO BE POSTED i" �IP <br /> ON JOBSITE. I 30�� � 3o"J <br /> CALL FOR INSPECTION 259-861 1 I"' <br /> 24 HOURS BEFORE CONSTRUCTION The underSiBneC owner hereby agreos lo holtl en0 sava�ermless <br /> Ihe City ol Everell Irom any antl ell cleims lor tlemegcs. cosis. <br /> ea0ense5.o�ceusus ol action�hal may anse because ol inStallalw� <br /> an0 maintenance ol ihe impmvemenl or ot�e� nghLol-way use <br /> ne���o aon���� �o�nn0 �un�er agmes lo�emove same upon nobte <br /> hom Ihe Cny ane lu re0�ace public pioperly OamageE tM1e�eby. <br /> .., _._.. . ._ .DEPARTMENT APPROVALS <br /> , : , . . ��. <br /> SEWER GOIAMUNICAI 10N5 <br /> ! <br /> OFUN�GE li:4fflC ..-. ---, . � <br /> "_"�.1\-�.._��,� 1 .. �.7 R/ _ <br /> WqTE(i PIANNiNG S�GNAIURE OF AfPLICANT <br /> i` <br /> �.) /s��� J .. `1 <br /> noonEss <br /> STREET <br /> i�,.r '�iT %.'�a6 <br /> �� L �� � i 6 �d� 79 , �,. Z�,. — <br /> � PRO CONSTRUCTIO�I OA�E � C�— y� �� p. ' <br /> tELEPMONENUMBER u�ENNnIE ,if <br /> .r,,.� ��Y .»s� �. <br /> DASCONSTFUCTED �ArE OnIE <br /> � i <br /> If�IIIr�LiNSPECTIONREQU��iED FeE 1978 ` <br />