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everell <br />� APP�ICATION FO�i RIGHT-OF-WAY U5E PERMIT <br />Type or print clearly wrth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC W�`qKS <br />lVENETT. WASHINGTON PERMIT NO. <br />APPLICANT (UNDeRSIGNED) AND FIRM REPRESENTED, IF ANV: s ��LSJ`i��% � W��L//Jr°'S �'v G _ <br />HEREBY APPLIES FOR PERMISSION TO ! CvUSTi/UG% iy d,3 /U'��l/� °�'-ii S�' <br />A7 THE FOLLOWING LOCATION _f�`�'� ��� d� -- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: e�,�`S / <br />5���� <br />��v � � ��`� <br />�/ <br />/�a�� �����) <br />.� <br />tU <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT AFPROVHLS <br />SEWCF <br />p9AIN�GE . ' <br />;: �!-� . <br />� <br />� <br />WALER 'v.�' P[;.1 i., <br />STPEEt <br />cornmuwcniiorv� <br />;�,�� <br />� <br />��.Ni�N� <br />�_... . ���:�.i <br />APPROVEDFOH CONSTRUGTION <br />APPROVED AS GONSTRUGTED ���'� <br />DRIVEW4Y SECTION <br />I" LIP I <br />�30" _�_30" <br />The undersigned owner �ereby agrees lo �otd nnd save harmless <br />ine City ol EverMt Imm any an� nll daims br dnmages. cosls. <br />e.penses, or causes c� action ihat m�v anse beca:rse ol inslallation <br />an0 mpintenpnce ol ihe �mpiarmnvnl or alher righDol-way ��se <br />lierelo npp�ir� b� an0 �url�ei agic�s Io remove same upon no�mc <br />irom IM1e City ann Ia �en�nce n��blic pioneity aamngea inereby. <br />1� �<�/ �Gl/r.'/_1� - <br />Si nntw�[ or nvoucnN� <br />� �ip �-� <br />noon[ss <br />/f%il'.C.1�1.�//, ��' �d'n3„ j <br />crtv zir <br />�i?7-DY1% <br />IELtPIION! NUVpCR pL1ERN41E <br />Il � �� <br />