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. <br />� <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� � Typ� w pNnt cM�Ay wilh ink <br />�� PRESS HARD - YOU ARE MAKING COPIES <br />.. . iUSLIC WOIIKS <br />EVEt`.ETT, WASMINOTON PERMIT <br />�.. APPLICANT (UNOERSIQNED) ANO FIRM REPRESENTED, IF ANY: � � 4� �' �• 1� �'� D•.��_ <br />NO. :.r. !�.�� <br />HEREDVAPPIIESFORPERMISSIONTO � � G�{�' � � `�1-:����'7 � �l-'�*�1n�' ('r'Al E' <br />/11cwG .����c r n�__, iR- � r��,r �'l1.��'>>rn-.r -� �-�c� iN Vsf'r,ti.n, <br />AT THE FOLLOWING LOCATION f �� �' F� �l � � � �` ' �- � � �' �' J�' �� � ° <br />DRAWIN(i (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />r„ �(P,++. S ✓ <br />n w �/���pM���7 <br />f �;, � 1 `; c.; (�� VC <br />p —ie—� <br />�� �E�� <br />_..__--- -- - __ <br />. ` <br />,�il_!i �. �; . <br />--` _-_._ _� ____ ,� f' T \ <br />_. . � �r r1P� r� <br />`_-��.�� •\� t" �: vC � <br />_ ��� � � � <br />� <br />� " �`�c n <br />� C�'„ �. � n , : �� 7- <br />� -� <br />1u�,c'» I.,�_c 1'� � �� <br />PERMIT IS i/ALID FOFI 60 DAYS <br />COPY OF THIS APPLICATION TO BE PGSTED <br />ON JOBSITE. <br />CAL!_ FOR INSPECTIUN 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DEPARTMENT APPROVALS <br />COMMUNiC4iiON`i <br />DBAINAGE /. � -, i �1:: �' � i �11 � �� <br />,f+j � "� •�.; � �n <br />, <br />WATER ..� PIANNIN <br />n: •� . , �. <br />5'REET <br />� �._..... � _ . .........� <br />('n� �-:7'T' �L` YT{:: �/'/ � <br />/S n <br />APPROVED R CON9rTRU�TI{QN,��� . � -, �re <br />APPROVEO AS CONSTRUCTED ontE <br />DRIVEWAY SECTION <br />j I'� LIP � <br />� I <br />L' 30 � �i 3—�I <br />r <br />The undersignetl owner hereCy agrces 10 �010 anE seve harmless <br />ihe City o� Ever?tl irom any flnd all clnims lor tlnmPges. cosis. <br />enpenses. or causes ol action Ihal may anse Eecause ol mstellalwn <br />and mainienance of t�elmpmvement m o�he� ng�t-ol�way �rse <br />nereto avV��eo br ana iwinei agrecs lo rcmore same upon nol¢e <br />Irom Ihe C�ly antl to replace publ¢ propeity Eamagetl Ibereby. <br />.� <br />l ... <br />�1 -..J���.� �; % . � _'"�'. <br />/ - / <br />� SIGNn*UAE O� APPUCFNT ' <br />/ / � � �� <br />/i <br />ADONE55 <br />. i <br />LfliE�'MONE NUMUER AItENNAIE . <br />y '; <br />INITIf�L INSPEC'i ION REQUESTED �EE 1978 <br />ti <br />