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I everetl <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearty with Ink <br /> ��� � PRESS HARD - YOU ARE MAKING COPIES � <br /> PUBLIC WORkS , <br /> EVEPETT,W.4SHIN(iTON PERMIT NO. �5� � � �� � +� <br /> � I <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �'� � �'"����� �� � '�'�'•"� ' — <br /> �� ^ I <br /> IIEREBY APPLIES FOR PERMISSION TO <br /> ' � : � �� 1'i . i ,p_. _ � „i r <br /> �dL _ <br /> AT THE FOLLOWING LOCATION �---f '� <br /> f1�7-ii-8� <br /> DRAWING (WOHK TO BE DONE) OR THREE PLANS ATTACHED:� <br /> � 7//G• /-/Ur C.i�Gir�c�� �l ��')7�:./z.,^ tU 3ci? ��/orf , <br /> � <br /> P�°�°��S <br /> ' e� <br /> , Qi <br /> � � 4�.��p <br /> D �- <br /> ✓ i/ <br /> ��(� <br /> i , <br /> � <br /> DRIVEWQY SECTION <br /> PERMIT IS VIlLID FOR 6(D DAYS {�-- ---� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> �, ON JOBSITE. I 30" _ —l_30" <br /> CALL FOR INSPECTION 259-881 1 �� <br /> 24 HOURS BEFORE CONSTRUCTION rna undersigned owner here�y ogrees lo holtl end save harmless <br /> iIOe Cily ol EvereU Imm any and ell cleims br tlnmages. cosls. <br /> I Capenses.or cduses o�Tction t�at may anse because ol installabon <br /> and mainienance o� �he improvemenl ur other nqh4oLway use <br /> he�elo aDP��ed br an0 lurihe� �g�ees b removc same upon nobce <br /> Irnm I�C C�Iy and lo rCp�cce pubht Vrop�rly dnma9etl I�creby. <br /> DEPARTMENT APPROVALS <br /> COMANNiClTIONS � <br /> I SEWER / <br /> i <br /> iPAFiIC � <br /> ORAINAGE 1 � / �,� '.�•���/ <br /> i -,;�' � , � <br /> WpTER PLANNING SIGNAT REOFAPPLICAN�� <br /> ; �, �, ,!, . � , , ; .; i�aii " ,����U.��. , <br /> f—^— � nDOAE55 <br /> STREET � � ' � � �� / ' / �j <br /> '� ' `7 �// / <br /> ` � ' � /� ��/ � / .�i� <br /> /�� � ciTr � zfv'—"-- <br /> � (/L�( c . ,. _. �J��F��C'O �': ' /, <br /> APPROVED R CO STRUCTIO —T�E -- / /' �- C J/�� <br /> � � tE HONE NUMBER / ALIERNPTE <br /> , ....I-��1;_;�!.i i�) '! rl.�i �' �� /i � — <br /> � ANPROVED Aa CONS. Rl1 SEQ.'::�'� ...,.. � DAiE DATE <br /> I — ---------------- - 19i8 <br />