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• � evenn <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleerly with ink <br />PRESS HARD - YOU ARE MAKINC, COPIES <br />pUBUC woRKs PERMIT NO. v �— <br />�p�77, WASHINaTON <br />APPLICANT (UNDEflSIONED) AND FIRM REPRESENTED, IF ANY: Tu� ���/� <br />,.,�T�„ n�r�EwAr o� ��cEY <br />HEREBY APPLIES FOR PERMISSION <br />e <br />:w <br />AT THE FOLLOWINO LOCATION `� " / � � �/�ry �T ���r <br />pMwING (w0lIK TO BE DONE) OR TNREE PUNS ATTACNED: <br />�IUvi)e� /f'rkcat /r�►v� <br />� 3�ii� /�r�/ St <br />3�Sd� ����r • <br />o, ,,, s /u ll � cf/sd <br />�sw�t �s v�uo �ow so owvs <br />CO'Y OF TNIS APP�ICATION TO BE POSTED <br />GN �=ITE. <br />�LL'pA INS�CTION !d�-�e 1 1 <br />Z4 MOUR8 SEFORE CONSTRUCTION <br />lE�rEN <br />OMIN116E <br />W1TER <br />arncc. <br />DEPARTMENT APPFiOVALS <br />COMMUNIC�TIONS <br />TNAFfIG <br />p��NNING <br />/ p <br />� D TE <br />�� —3�' f/ <br />VE AS N U TE D�TE <br />CONSTRUCTION/AS BUILT <br />� DRIVEWAY SECTION <br />� � <br />, I� LIP <br />�30� DO�� <br />� <br />TM undMqnM own�r MrsDY N� to �ob �NG uv� Iw �Ma <br />Ma Gry W Ev�nt1 Irom my �ntl all c41ms lor Crnp�. <br />!tplMM. Of CWN� 01 �CIIOn �IIN m�y \f�N E�CWp Ol lfl{IN4�iOn <br />end melntanu�ce ot Ma fmprovamen� or otMr rlqMcl-w�Y u�a <br />IIMlto WpNlO IOI \IIE IurtMl �9�0 �� rlmOY! NrtN uPO� �OtiC! <br />fram t�e City and lo roplace DuDUc propsrty OempM tnsroDy. <br />G ^�y-A� <br />/i� <br />SIGN�TURE OF IIG�NT <br />9L�/ y�`� St• ��f• <br />�DUAESS <br />�v�T� F-I�l¢ . Z�ZD <br />c"� 4 20 , 2s9- 7�2 �' <br />33y` / ALTERNATE <br />TELEPHONE NUMBER <br />g -/3 - 80 <br />D�TE <br />FEE _ 1978 <br />