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. . � <br />g�P.�n . <br />° � �ippLiCATION FOR RlGHT-OF-WAY USE PERMIT <br />Type or print clearly viitn ink <br />PRESS HARD - YOU AF`_ MAKING COPIES <br />PUBLIC WORKS PERMIT NO. ' � ��� — <br />E.VERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM 9EPflESENTFD, IF ANY: <br />'-c/!"r C 7 % <'i( '/(/ : /,cJC . _— <br />HEREBY APPLIES FOF PERMISSION TO ��� <br />G C✓/�T /�' LL=—��.r'�vf Lv.'.' ✓. .�" G' F — <br />.. � J - �•.'� — ,CvFr'!r TT- <br />AT7HEFOLLOWINGLOCATION_T/�� ��'� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� �a �� � � �'`��� `}� � <br />� ,C���-� <br />��� ��`� %� �� ��� <br />, c , <br />j?; Cc�� <br />;� <br />PSRMIT IS VALID FOF� 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOLiSIT[. <br />CALL FOF� INSPECTION 2:59-881 1 <br />24 HOURS BEFORE CaN&TFfUCTION <br />SEWEn <br />DA�iN�GE <br />DEPARTMENT APFROVALS <br />LGMMUNiCniiOniS <br />PIA�NWG <br />_ ' U l�;'��'�� <br />APPROVEDFORCONSTHUC.'�ON DNE <br />APPROVEDASCONSTRUCTEU DA�E <br />��. � .�-:��. _ ,�..�1'�_-IiJf_���`cD <br />DRIVEWAY SECTION <br />� � ` <br />j I" LIP <br />30" __�30 <br />The un�ersigntd owner hereby agrees t� hcb and save harmless <br />ihe Cily o� Everel� Irom any antl all claims br damages, cosis. <br />ez0ense5. or causes o� aclion t�ai m:�y an::e because o� inslatlal�o� <br />and mainienance ot 1�e improvemeni nr cihm ri9M-ol-way usc <br />herelo �pP��co �ar a�d �urihor agrees �o remova sa�nr unon nobce <br />Irom Ihu G�ty anC to �up�ace V��bhc prap��ly Oninegen Ihe�eL`Y- <br />�.,�"l �� : ,� _ <br />SIG�+IUAE OF AVPLIC�NT <br />_��._�= i� %YjSiv L - l � <br />aGDAE55 <br />r� _fZ�� %�ZC! 3 <br />��,. <br />rE P oN����,,07 /f. / <br />—.���"� CJ <br />Da�E <br />Pl <br />� <br />