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, <br /> everell <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HAfiD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVEFETT.WASHIi1GTON PERMIT NO�� <br /> APPLICANT (UNDEFSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO ��A�� �6L[ -l�T'���L '� � ��iL L—�— � <br /> - 1�i5�% <br /> AT THE FOLLOWIN(i LOCATION /y��+��' �Ej� �� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTAGHED: <br /> I <br /> I /'?fI d'l� <br /> _�.� , <br /> ; O O d� <br /> , � �� <br /> ' � � <br /> � p�s�y ,e�P� . ,� <br /> � � � � <br /> � <br /> � <br /> , <br /> r <br /> ; <br /> � _ , <br /> � � <br /> r <br /> ti <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � � <br /> COPY OF THIS APPLICATION TO BE POSTED �— + i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 2s9-881 1 I'30:t� •T•30 '1 <br /> 24 HOURS BEFORE CONSTRUCTION 7he unOorelBnetl awner here�y eqrees to hold enC seve�ermless � <br /> ihe City ol Evnretl Imm any enG all cleims lor Oemegea. cosis, ' <br /> c�penses,or ceuses ol ection t�et mey ari]e betause o�iostallelion <br /> ana maintenence ol me improvemem or ol�er nght-cl-way use <br /> hereto ap0lie0 Ior anA lurtner agrees�o removc seme upon nohce <br /> Irom Inc C�ty an0 to replace puEhc property Eemaged lhereEy. � <br /> DEPARTMENT APPROVALS <br /> . � <br /> SEIVER COMMUNICRTIONS <br /> URAIN�.E TRRiFIC / /� <br /> Jyy� ir]r� � 1� � <br /> WqtER PLANNiNG SiGNAtUHE O / °LiCANT �'�� � �� <br /> /3,��)� �t <br /> 5'REET AOp'IE55 <br /> Fi�a o ��/ )r9 � <br /> CITV IP <br /> AP I �F����^A <br /> TEL 0 E NUMBER ALiERNPTE <br /> �_ .. � �.A;{... \ "�l IU�V �O fJ� �/ � �U <br /> nv Ao e ns coNsr cren on,c o.+*e <br /> _ Dti <br />