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<br /> � AP'PLICATION FOR RIGHT-OF-Wqy USE PERMIT
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<br /> PRESS HARD - YOU qRE MAKING COPIES
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<br /> EV�RETT, WqSHINGTON
<br /> �l, � '�j. ��FRMIT NO._T` � � �
<br /> APPLICANT (UNDERSIGNED) AND FIqM REPRESENTEO, IF ANY: - - � �! ����L-=�
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<br /> HEREBY APpLIES FOR PERMISSION TO �.. � / �—
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<br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHE�:
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<br /> PERMIT IS VALID FOR 60 DAYS
<br /> COPY OF THIS APPLICqTION TO BE POSTED � �
<br /> ON JOBSITE. + i" uP —��
<br /> � CALL FQR INSPIECTION 259-8g 1 1 30�
<br /> 24 HOURS BEFORE CONSTRUCTION r � ----�.}..30" I
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<br /> The untler5igneU owner hereby ngrees to holE ana save�armle;s
<br /> t�e City ol EvereU from any and ali claims lor tlamages. cc.i::
<br /> eKpense5,or wuses ol action Ihat may anse because ol mstallah:�,�.
<br /> a�tl main�enlnce ol Ihe impwvemenl or other nghl-oLway ,
<br /> �����clo appiiea lor antl lurther agrees to�emo�e ;ami.��p�,•� �... •.
<br /> DEPARTMENT APPROVALS horn me Qty and �o repiace vuei�c �noi,,..�.; i , ,
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<br /> ��.��niNAGE ��� ��JL-"L1:/v! i-� '�(�'� �� ..
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<br /> PIANNiNG ._ �✓�J
<br /> 5lGNATURE OF APPLIGANi — � -
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<br /> P OVED FOR 5T CTIpN / �� na . �� -D nr
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<br /> iELEPNOH NUTAOC�
<br /> � � /UE�1NAIf �
<br /> A�'PROVED AS CONSTRUCiED ��- y� �y
<br /> DATE
<br /> C1A1E
<br /> ' 1978
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