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- . -. <br /> I _ . . - — i <br /> � <br /> I <br /> everen <br /> Q APPLICAT'ION FOR RIGH'�-OF-WAY USE PEHIVIIT <br /> � Type or print clearly wilh mk <br /> �� FRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVEHETT,WASHINGTON PERM��( NO. �i) -�+ <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV: — <br /> HEPEBY APPLIES FOfI PERMISSION TO <br /> AT THE FOILOWING LOCATION 2 ZO/ /J.t�G/I/�/U/'Iv/ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> N�_N i�;���r.��/ i�s iNoi..�r�rv e.✓ -'�;�.✓ �s Ti�r �q /v�li� <br /> � Tr��rCet �l,lt� /IT TNiS i iit�� . !✓i/�nl �"X is riNt- /lvtis�._ <br /> �i /S /�e�J�oLisi/�d �t/did �l,�.�rii5 i»lis: i3� il�:>�irlrJ �v� <br /> � <br /> i I <br /> I � <br /> � ��^ � -_.�)c-���ctc= <br /> � <br /> I � <br /> I I <br /> i <br />' � <br />� I I' <br /> � I <br /> � I i <br /> I DRIvEWAY SECTION II <br /> IPERMIT IS VALID FOR 6Q� �1AYS �� �..I I <br /> I I <br /> COPY OF THIS RRPLICATION TO BF POSTED � ��p � <br /> ON JOBSITE. �I ; <br />� Cd�Z FQR f1NSPECTIOPA 25J-E381 11 I�O� � --�30" <br />'� 24 HOURS ^oEFORE CONSTRUCTION The un�er<I.7neC owner hereby agrees !o hold nnd savc harmless <br />�� Ihe City ol Evicetl �rom nny ar7 ali Uaims lor tlameges, coats. <br /> expenses,or causes ol eclion I�at may anse because ol inslsllabon <br />� � antl n;a�nlenance ol Ihp imOrovemen� or othar ngh4obway use <br />�� hcrelo apyiied br ai .IurlhN ag�CCS io remOVC SamC u0on nohce <br />� Irom IM1e City antl lo r60��ce puhbc propeity Oamaqed tl�.e�eby. <br /> DEPARTMENT APPROVALS <br />( SEWER COMMUNiLATiONS / <br /> i' <br /> 7 O'l% <br /> DRAINAGE TRRFFlC � <br /> lx..vtqN,�orE <br /> W/TEP /. PLANNING I AiUAE OF AnP�I A � <br /> ; , ZZ�/ �2a�c <br /> srneeT �,�� ., �, nonne <br /> � j I � �—�� — <br /> , ;� ;.. � .� ���z si r� "2��z — �� Z Z �,,, <br /> APPROVEU FO CONSTqUCTION �aT� <br />� ..� "'. r I�: I I. 1 lEL[PMONENUMI3ER ALIEPNAiE <br />� � �s � /o— 9—� <br /> I n F ED AS'CONS7 E� oni[ onr[ <br />�I , � , _^i I,. ��, . . . <br />