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���.�n <br />pppLICATION FOReRIGHTyOF^WAY USE PERMI <br />� PRESS HARD - YOU ARE MAKING COPIES 79� <br />PERMIT NO. <br />PUBLIC WORKS - - , � <br />EVERCTT, WASHINGTON �', , � ! `�� � _ <br />l�; (-� � • ��— <br />APPLICANT (UNDEHSIGNED) AND FIRM REPRESENTE�. IF ANY: (` <br />% /� 'r r . <br />( � <br />HEREBY APPLIES FOR PERMISSION TO <br />e <br />�� <br />� ,�-f—�r— I�.—:. . � - . . f <br />AT THE FOLLO'NING LOCATION ; �/�/ � /��� �; i/�% r j �„! '` 1 V� <br />DRAWING (WnflK TO BE DONE) OR THREE PLANS ATTACHED: <br />��''�' '`«.Z '``"'y��0�. °�� 7' �" 9 <br />EXIS-�-,'i �COpt�t,c�� C1i�on��✓"VS , �I` <br />r <br />I <br />0 <br />11I.P r cl L. � �.� i' O V O'-� n.� <br />���� .� �OU.J <br />/ ��'`/ <br />aJ'��1:�, — r'P, �c.� '� :� �,�_, � <br />�%';� -. <br />DRI�'EWQY SECTION <br />PERMIT IS VALID FOEt 60 DAVS �— � <br />COPY OF THIS APPLICATION TO BE POSTED i�o I � i" LIP �30 <br />ON JOBSITE. I' � <br />CALL FOR INSPECTION 259-881 7 <br />r es.to poid,and seve harmless <br />24 HOURS BEFORE CONSTRUCTION T�e undersignetl owner he�eby a9 C <br />Ihe CitY 01 cTuses'of c� on ihatlmnlY anse becauee of m tallzbon <br />� t-ol-way use <br />capenses.or <br />and m.in�ena���c ol Ihe �mC��°�"1Onl or Wner nq <br />hereto xpPlied �or antl �wl�!�� �9�ibl c�� �� ��Y tln nnged�lhe eby <br />I�Om Ihe Cily ��'� �° �e�' � <br />DEPARTMENT APPROVALS �� �� .. �s s,�,(,���T <br />-� <br />SEWER <br />pRA1N4GE <br />WATER <br />s*r�ee* <br />COMMUNILAT�ONS <br />TRPfRC <br />PL�NNING <br />�PPRO�ED FOR GONSTFIUCTION <br />DAiE <br />OATE <br />qPPROVED A$ CONST�UCTEO <br />;�!fi I:`,L INSP�CTIOI�! ; <br />SIGNPTU�E Of APPIICPNI : .:'� � .. ' <br />y '1 <br />`. � ' .� , �..I <br />PDDRESS '.;� <br />_I 1:. <br />.. 21{' <br />C.ITV � `( -. _. . % _ I � <br />r' : � L,, <br />�� ALIERN�iE <br />IEIEP��ON6NUM�E� I ' <br />r l�_ � •� _ <br />� 'i <br />ontE "''-._�� <br />