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i <br /> ev� � <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD -YOU ARE NAKING COPIES i <br /> PUBLI�;WORKS PERMIT NO. �� ' I <br /> EVEHE I T,'JJnSHINGTON I <br /> APPLICANT (UNDERSIGNED) AND fIRM REPRESENTED, IF ANY: NAL QAC(/ LV,NS r, — � <br /> HEFiEBY APPIIES FOR PE'.iMISSION TO I N S 'fq�c 1 J � �/7v5Nfm RCU< Q�/v�wAY O f f= f��l t S: — <br /> I <br /> I � .S I S p��E EdE,PEi7 �.ie 9�zoi <br /> AT THE FOLLOWING LOCATION_ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ('�.>f. f. ��._s <br /> � � „ ',-n.i��,�c , 'G � <br /> �o �j� /�u: /f' Gcc..✓.1�� lD ci/c�/._./� '� . <br /> /J ��:�f �ci` &.� 000 �' f-L'�' IhS /C.//l. 1.-�)�� � <br /> /'J.-1i� � <br /> n /1�� 4�/'/nY— f' T ��) ft� d �J�t <br /> t.��- <br /> � � � '_ `� ��� <br /> � � '� �' <br /> i <br /> �� i <br /> � � <br /> ' I <br /> I <br /> � <br /> DRIVEWAY SECTION <br /> � <br /> i PERMIT IS VALID FOR 60 DAYS � ---'I i <br /> � <br /> I COPY OF THIS APPLICATION TO BE POSTED i" LIP I <br /> ON JOBSITE. -�-30 � �, <br /> I CALL FOR INSPECTION 259-887 1 �.30" I <br /> I 24 HOURS BEFORE CONSTRUCTION The underslgneU owner hereby ngrees �o hold ond seve harmle5s I <br /> the C�ty ol Everelt Irom any antl all cleims lor dameges. costs. <br /> ' Rapnnses.or causes ol aclion Ihot may nnse because ol mslalinhon �I <br /> (IpG fliPill�Pn.lntC OI IhC �fliplOVCmCfll Of O1hCi ng04o1-way u5c <br /> hereto apphetl lor antl lurlher ag�ees l0 remove same upon notice <br /> Irom Ihe C�ly nnG to replace publ¢ property dnma9etl Ine�e�Y. i <br /> DEPARTMENT APPROVALS ' <br /> SEWER COMMUNiCAtiONS <br /> pPA1NAG[ TRPiFIC I' � LJ/� �/� I <br /> �L�� T�v '�t!� I <br /> nVv��n. <br /> �� PLANNING $IGNRTUFE OF APFIICANi i <br /> � wa.ER � � 3L F��lNth�a qL � ' <br /> Inoor+ess � <br /> S1�EET ) <br /> � EVFI� fSI {^/95N ��l1.0� <br /> p CITY 1 21P <br /> � a��. `' /�-�� S�/��/�'a Z51 - 1yso <br /> APPROVED OH CONSTRUCTION ATE <br /> ��{{ TELEPHONE NUAI9EA ALIERNRIE <br /> I \/�iLC � � �� � '� � �- 'i <br /> i qp O AS GONSTRUCTED D rE OA1E i <br /> � <br /> ' COMSTRUCTION/AS BUILT FEE 1978 <br />