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- ` <br /> ; - <br /> i <br /> � <br /> I eVe <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print ciearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC'.NORKS � <br /> EVEPETT,WASHINGTON PERMIT NO. �U �y"� <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: !V� ��A�H LONS T, __ I <br /> HEREBY APPLIES FOR PERMISSION TO �N� TA4 '].U 1 C /I�+SNhB �U�K 0 R� �Fo.�•o r oFt' A « t 5' <br /> � <br /> IAT THE FOLLOWING LOCATION I S� S-P�.�r S T. EvE_ PE�� 9A20/ <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ('cin a� —.• � •. g <br /> � IU G/,�,c.�-.� ili( i)(r L i-•_° � <br /> /U 6t �<�. /!- c�r i.r.f)� S � <br /> � ��.n.� �./.Q �-r.r .xl�, o0 0 /«^ .., � :r.i/c ". ,, <br /> �.ti �i��/�iiti. T' t.�r i5 � �[ �,.� <br /> p� � <br /> I �—� ��-1' <br /> i r I � r, I <br /> � � <br /> v I <br /> � <br /> i <br /> � � <br /> i <br /> I <br /> I � <br /> I j <br /> i i <br /> � <br /> i <br /> � <br /> ; � <br /> DRIVEWAY SECTION <br /> � <br /> PERMIT IS VALID FOR 60 DAYS � -----.1 i <br /> I� COPY OF THIS APPLICATION TO BE POSTED i" LIP I <br /> i <br /> ON JOBSITE. I <br /> � CALL FOR INSPECTION 259-881 7 i�30 `t� �30 ! <br /> 24 HOURS BEFORE CONSTRUCTION Tho undersigne0 owner hereby agrecs to holtl antl Save hnrmloss <br /> Ihe Clty ol Everelt Imm eny an0 all cleims for damanes. Cosls. '� <br /> eaDen5e5.or causes ol uction Iha1 may anse�etnuse ol�nstallabon � <br /> anG mainlenance ol ihe �mpruvement o� olhM ngM-ol-waY use . <br /> �� nereto apphed lor antl �urinee agrecs to remove samc uoo^�ohcc ' <br /> Iwm Ine Ciry an0 to ieplace pubbc pmpeiry tlamagetl mMeby. �. <br /> DEPARTMENT APPROVALS � <br /> SEWEH GOMMUNiLAT10N5 I <br /> ORAINAGE TAA�FIC p� � <br /> I �- -7� i' �,,.,..� ! <br /> p�pTEq PLANNING SIGNRTURE Oi APP�iCAN� <br /> � � I � l �lICH � O /1"i <br /> � STREEi pDDAE55 <br /> I // f�r�ttTi h.�l :i-, �l Gt�r <br /> iCLZ7` /-JILT 0'� '�� �iTY z�P <br /> � APPROVEO F F CONSTRUCTION 0 iE �. � L�,l�S�j . <br /> . �EIEVHONE NUAIBER ��TEANAI� i <br /> , _ �_ � _ � � <br /> � __ <br /> � AP uVE AS CONSTRUCiED Oa*E D�+�E <br /> � .�� ,. , .� .,. i _ . - . _ _ _. <br /> � .,,. i,_._��.. , , . �..: _ __ _ _- ___ — _—..____ - _ 1�'/8 <br />