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, e <br />! ' • APPLICATION FOR RIGNT-OF-WAY USE PERMIT <br /> Typ�w prinl CN�rly wlth Ink <br /> - pRE3S HARD-VOU ARE MAKINO COPIES <br />� PUlLIC WORK6 - � , <br /> EVEpETT,WAOMINOTON PEHMIT NO. � 3 <br />. APPLICANT(UNDERSIONED)AND FIRM REPRESENTED,IF ANV: <br /> LEv�v�4RD G. WNITE <br /> IHEREBY APPLIES FOR PERMISSION TO APP�y�1 P��T � .a� v� w�Y E.rrc"�vs�arv <br />� �INl) �Q�hK �K�ti�G sTi�2�P � �1ND CONSTYlu�T lo G'rfi4lu 4NICFf�/� <br /> ATTHEFOLLOWINOLOCATION /�Z� C�EST/VLCT EV`�-�► � <br /> OIIAWINO (WORK TO OE DONE) OR TMlIEE PLANS ATTACHED: <br /> �r,, <br /> a ? <br /> �N v <br /> Z�� � i <br /> 9' (� ' <br /> �� - - - � ' � \ \ <br /> � ` \ I, <br /> � � � <br /> i �°a ' <br /> '� � `� � ' <br /> �� � ��� � <br /> � �o � ��, ,s=�, � <br /> Q� �� � r C X/STI n�G ��% r � <br /> \ Z� � �/v�st EX/STiNC, ��� �u � <br /> \ / / ' vEwAY � � � 1 <br /> � /�z8 ci/E�' DR � � <br /> �V <br /> �_�/ � ; � � <br /> — �o, - - - <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS I�.�— =� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED �i" LIP � <br /> � <br /> ON JOB8ITE. I <br /> CALL FOR INSPECTION �a9-66� 1 I'30� ����� �� <br /> 24 HOURS BEFOIiE CONSTRUCTION T�e unCanlOnetl owner �areby a0���o�o1E enE�ew humles� <br /> ine Clly ol Emrou Imm eny enC su �lalm� lor C�m�Oe�, co�l�. <br /> e�pen�ee.or teute�ol eC�io�Ihsl m�y�rUe WClu�s o1lmUll�lmn <br /> nnU me��lenance ol Ihe �mp�Ovemenl or alher nqM�abw�Y uu <br /> hptB10 eppLeA lor an0�urlhl�ap�ees to romove e�me uoon not¢e <br /> Irom Ihe C�ly anA lo roplece pubbc D�operly d�meqe0 Ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWE� COMMUNiC�110N5 <br /> pp�IN�OE iN�filC / �� <br /> i �•' <br /> W�TER o��NNING Si 1U�E ��PPi�C�NI <br /> / 8 G/�ESTti/Gc% __ <br /> s*n[cr non��G�� Jp �' / <br /> C� � <br /> ���r��� 9/�i�o �,t� y z,o : <br /> �— o� 2SZ—OSZ <br /> fEIEPHONE NUMBER �IfERN��E •��� <br /> �,� L {� � � a _ <br /> ]�[��CT�G D E D�TE . . <br /> V� <br /> CONSTRUCTION/AS[3UILT �ee �+y t97B <br /> . ' . ' _.:. .• � , �.,. : : �. � �. r., �tR�B���4L <br /> O �: <br /> � <br /> N R . ' <br /> �.. . �.. � n . � .. ,'. .. . , <br /> . � . � .�, s: .: i_.. • . , i ... -:.tJ iM1 � � <br />