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, � . <br />everen �� , <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT ► <br />Type or print ctearty with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS �/ <br />EVEREIi, WASHINGTON / l �v��,v/c,�/y� PERMIT NO.S��� <br />/`i���+// �j� �"/�� / <br />APPLICANT (UNDERSIGNED) AND fIRM REPRESENTED, IF ANY: ���T'��" / " " ' �" �J����S' <br />HEREBY APPLIES FOR PERMISSION TO �/� /�//�//�/� C��/C����` ��� r�/ / <br />f�,P �t��.� Tl� �iC��� <br />ATTHEFOILOWINGLOCATION ��/� " ����" /�V� / ��C��� <br />� ____.. � p,� <br />DRAWING (WORK TO BE DONE) OR�FTR'EE PLANS ATTACHED: 'J`" '�~^s` <br />�:� P �,vs ��i��Pa�/��� � 1�.�7€.a .3�,zy/� <br />�`" fff��%�1S S//� 1 G' ,�?�"' ��� �/ /�CrG`� f� ; /��i`�c� ��rE�'-< <br />I»i-���,�=lf'� ;�.� <br />�ERMIT IS VpLND FO�i 60 DAYS <br />COPY OF THIS APPLICATION TO BE POS7ED <br />ON JOBSITE. <br />CALL FOR INIS6�ECT'ION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />_�., <br />srr:��� <br />� nG��4nTER <br />snaee,---- <br />�'� 3.7� �`� <br />APPR VLD FOR CON T TION ArE <br />�. /. � / <br />� ` � L' �fi€�` ' 2'4 �'�`/ �98 � <br />AP , 15 CONS*HU' D DniE <br />° COMSTRUCTIONLAS t3U1LT <br />DRIVEWAY SECTION <br />�— t I'� LIP �- <br />L30" � _�_30,� <br />f i <br />The un0ersigned owner hereby egrees to hola antl save harmless <br />the Cily ol Everelt irom any anE all cloims br dameges, costs. <br />eapenses. or causes o� eciion ibat may anse beceuse ol insiallation <br />ana maintenance ol Ihe �mprovement ur ulher righl-obway use <br />hereto applied �oi and turiher agrees lo remove same u0on nohce <br />Irom ihe C�ty antl to replace pubhc properry Eamaged Ihereby. <br />% ���� <br />SIGNATURE OF P�PLICANi <br />f� n/ �%/�G.� -� ��>U� <br />noo�ess <br />,���� ):�T�)3 <br />GTv ZIP <br />2S�-G�36f.� <br />iEL[VMONE NUTA9ER AItERNAiE <br />�� 27/;� <br />