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ererew <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ryo.«o�e�c�+r.�m�� <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> R���Kg PERMIT NO.Z3�?�— <br />� EVERETf.WASHIN(iTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: D n <br /> HEREBV APPLIES FOR PERMISSION TO <br /> iivw .�a p� 01 � r C'�9I�'N-Q.JC-� �It�t.J.Q�thOl/}� <br /> AT THE FOILOWING LOCATION � � �� �� <br /> DRAWING (1NORK TO BE DONE) OR THREE PLANS ATTACHEO: <br /> ORIVEWAY SECTION I <br /> PERMIT IS VALID FOR 6� DAYS I�— —� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. 3p" I .�-,�� <br /> CALL FOR INSPECTION z59-881 1 '�' <br /> 24 HOURS BEFORE CONSTRUCTION T�e unCeniBneA owner �ereby apreee �o ho10 end eeve hermbsn <br /> I�e C�ty ol [veretl Irom any enC all cleims �or OemeBes. conts. <br /> e.penses.or ceuses ol action tnat may erise Decause ol ma�ellehon <br /> p.0 mainlenance ol Ihe �mOrovement or other ng0l-nl-wey uee <br /> hereto epplieA�o�anG lurt�er agrees lo remove 5ame upo��obce <br /> Irom Ine G1y anE io �ep�ece Ou�bc pmpeny Aema9eC ��ereby <br /> DEPARTMENT APPROVALS <br /> SEWEA COMMIINIGATiONS <br /> ORAIN�GE —_ TRAifIC ���\ <br /> W�1ER �IANNiNG SiGNATUAE Oi noPLiLr1Nl <br /> � Q . � R J SO — <br /> R�ORE55 <br /> STPEET <br /> ��� ��- �— 9 �y��F� 9�zob <br /> �a�� crtr zir <br /> q VED FOR T UCTION o^�� �s'9— 9/ 9/ <br /> iELEPNONE NUMBER AUERNAIE <br /> Tu..�e /9� /�79 <br /> APPROVED AS CONSTRUCTED onrE oetE <br /> rEE �9�8 <br /> CUSTOMER <br />