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evereM <br />, Q APPLICATION FiDR RIGHT-OF-WAY USE PERMIT <br />vlype or print clearly with mk <br />iPRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS � <br />EVEt1ETT, WASHINGTON PERMIT NO.-�� <br />I APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:��� n��_�T o l�U 1 I� <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCA <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� `� �'�P'� ��eVl W C� ST✓ U G�� J�.. �ls'CJ � M <br />--�"'"' � �f <br />(�i U d I✓I aq2 � e C✓ �/e w..�,.,--�� <br />��-�d, o �o ✓ C2G�v rd I I � <br />Cati..�ac� l �n S�tJ`"' , <br />PERM�T IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSl�ECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />S[WER <br />DRAINAGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />/ <br />; p TE <br />_9-1/i—%�l' <br />i n <br />� �?crr�� T�Y Ha:s:,.q oka <br />�V evpl' n.•.ti (,V ., y �et ��.e <br />�,. <br />DUILT <br />DRIVEWAY SECTION <br />j I'� LIP <br />�30';.� 1�3p"� <br />it <br />The undersignetl owner hereby agrees to hold antl save harmless <br />the City ol Everell Irom any antl all cleims lor damages, costs, <br />expenses. or causes ol action Ihat may arise because ol installa�ion <br />and maintenance ol �he improvemani or ol�er righl-ol-way use <br />herelo applietl lor antl lurther agrees to remove same upon notice <br />Iwm ihe Ciry antl lo rep�ace public properry tlamagetl thereby, <br />