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�cvcretl APPUCATION FOR RIGHT-OF-WAY USE PERMIT I � <br /> Typc or pnnl r.lcarly wtlh inh I <br /> PRESS HARD - Y'OU ARE MAKING COPiES ! <br /> !'U[3LIC WORKS <br /> [VERETT.WASHINGTON � <br /> PERMIT NO. � � I <br /> APPLICANT(UNDEPSIGNED)AND FIRM REPRESENTED, IF ANV:�[-) U�I C G ��/� 5o/�J I <br /> HEAEBV APPLIES fOR PERMiSSION TO�O��S�JluC j�{_ /' �s NC �r�c Ci�', �� � � —� <br /> �'�ndC �.J V✓ <br /> ,. � r S��1 f iC�rS C•G� i6liucr - IAC�irr , C ��� ,�� j�u � �.+v) . <br /> AT THE FOLLOWING LOCATION / C�3 ' r <br /> --L2� �I[�illJ��_�./-}Cr� j <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CuR � fIF�C�NT TD ,f�,C ��� I • _ <br /> Pr9d�/L1�irJ-T—._ H�vc,�,�C�s7-/,�. � . <br /> � <br /> i <br /> ; � <br /> i <br /> � <br /> � � <br /> C � �� � <br />� � ' � - <br /> �.�,. � <br /> � <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � <br />►�+ COPY OF THIS APPLICATION TO BE POSTED � <br /> ON JOBSITE. f I" LIP <br /> CALL FOR IWSPECTION 259-881 1 �3-�--- ----�.30" I <br /> 24 HOURS BEFORE CONSTRUCTION -�� <br /> The untlersi9netl ownCr �era6y ngrcos lo holtl entl sava hermlo55 <br /> �, u:e Cny �I Everetl Irom any nn0 ell clalms lor Oameges. eosis. <br /> , ewpense5 or wuses ol athOn Ihnt may Orise�CCauSe 01 mSIUIIBIiOn <br /> nntl maimenance ol I�e �mprovemenl or olhM ng�pol�way use <br /> i ner��o nppiicd lor ana lurmcr agrecs to remove samu upon oolice <br /> h � <br /> I DEPARTMENT APPR�VALS �`O1n �^� C'�y "^� �o replace pubbc orooerty Uamagoa mercey. <br /> I <br /> 5EW[n uNiCnr�oNti ' <br /> I OR�IN�GE - - ' <br /> - iR�4Pi� ��_ <br /> ` ����-�r��� ����./ <br /> WATER �I�NNMG -- <br /> � SiGkATUPE Oc v('uC�N� <br /> Sr�EF. -- __ G��� �/�-�.r��,� /�i�C,c <br /> ' �j/ •o +ess <br /> ,/�/J// �- ✓�-��e�- ��1�� - <br />.. . APPFO D. OF COySiJfUf;/ tJ �AiE ����� Orv ` C l i . <br /> 11P ✓ <br /> ;� , -- � ', ��3- � �1� 1 <br />� � � � � ���Ey HONENyM9ER RL1[qN�iE <br /> , -"�`� `� '�>(� /7� <br /> � `PPR AS Si D D�r[ - <br /> 1 ontF <br />` ' �, .'.�. ._. � . COR5?RI1r.TIr1�J;qCnt.tii..T ,�---..�1��-�� . <br /> - - - -- . _ _._ �n ,.. <br />