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� <br /> _�• <br /> everetl <br /> � APPLICAl'ION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD-YOU ARi: MAKING COPIES <br /> UBLIC WORKS <br /> �`� VERETT.WASHINGTON / PERMIT NO. <br /> PPLICANT (UNDERSIGNED)AND FIRM REPRESENTFO, IF ANY:�( �r-/ .[� �4 `" "�� �T�- <br /> � \ � <br /> EREBY APP! IES FOR PERMISSION TO �� ��T/'���rA��rC'L`�~/�LfI"�0�--�f'L� <br /> / <br /> T THE FOLLOWING LOCATION_/�/�LZ���7�.4�"'��""" —7f �i <br /> �RAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ��/30 — � .l S �� �� �?h.cti Cl.�C'_�I�� :7��) f.�yLL�G� �sC 1G%/GlG(:.� <br /> � Y, // / <br /> �'"o�� • � � �i ✓ <br /> �`"E" svcJ � r3 v"� !,Lt-L� ��1fGGL (�%5i/JLL� <br /> ,t�� � �` � � � � � -� <br /> C�c�N���� L.� ,[?,+�/,Ji`LC-Z � �L��-22�.G <br /> =�'� ��CC�, / / <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � -1 , <br /> COPY OF THIS APPLICATION TO BE POSTED + i" LIP <br /> J <br /> ON JOBSlTE. j ga��� �30" <br /> CALL FOR INSPECTION 259-88 'i 1 t' <br /> 24 HOURS BEFORE CONSTRUCTION The untleisigneC ownon c�rc0y a9mes Io�010 entl seve hermless <br /> Ihe C�ty ol E�e�ell Irom n�y anE all claims tor damages. msls. <br /> C[pC�5C5,O�C.lV5C5 O�AL�IOO Ih3110TY d�ISP�1CCdIlSC 0�I�S�iJ101�0� <br /> dnd mamienance ol I�e �mpmremenl or Ol�er ngnbo��way mC <br /> ������ hcrClo apPLcO 10�:��d Iuri�e� agices 10 remove same upon nol¢e <br /> Irom I�c y antl lo icPlace pu�Lc prOpc�lY ��magc� ibe�ebY. <br /> DEPARTMENT APPRO� AL� <br /> r <br /> � r} [+� J 1 l,• � <br /> 1� � ,i� y{ <br /> --�i i-n._I'�� LS ti� �., .. ; — <br /> Er•Et� ��;� CO � I(1�1i1ON5 <br /> 1 ' �__ <br /> V3 1 �M � <br /> i�..�waGE ' I:i..i �� . .. i�iA�nC �%� / <br /> .dIEH �._.�... . .. �1�tMlING $IG Al t1E f 4IOPl�(:ANI <br /> �O 1 J .. .. � -f <br /> '_...-..';n3�� ,;�nti,� I ' '�,. .,, . . - �, . �, <br /> ���ct� �G., 2f��W �ooncss <br /> `�. /Jp i�t\�j 1-L � WL1. • <br /> .�Ji7lffjlL �.-GL'iCi �/�V O/ crtr—_"_. zu• <br /> .��i��ov o ac �ucrioN oA1e ,� _ � - � '-� -1-� — <br /> tEICVNONE NUMIEA I Rl1ERNPiE <br /> � � — <br /> „ VED O iRUC D OntE DniE <br /> cor�srr,ucrionvas aui�i- ,EE �sia <br />