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everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleady with mk <br />PRESS HARD - YOU ARE MAKING COFIES <br />PUBLIC WORKS 7 <br />NERETT, WASHINGTON PERMIT NO. ��— <br />APPLICANT (UNDERSIGN�D) AND fIRM AEPRESENTED, IF ANY:��S%/�V q w/!L/N�9S �tiG <br />�^ / <br />HEREBVAPPLIESFORPERMISSIONTO_ ( L"��ST��vG� �� �`� ����/¢��V��Y <br />" Jl� � <br />— �•��-' 'Jr. �, . <br />AT THE FOLLOWING LbCATION � ��� L7� wM' - jL� — <br />� <br />DRAWING (WORK TO BE DONE) OR THAEE PLANS ATTACHED: ��`"Lk 5 <br />U�2 <br />n� : � ��� <br />-7� �- � \"`I <br />.l�'� Cv rJ /�b�l�- ��\ <br />U� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POS7ED <br />ON JOBSITE. <br />CALL FOR INSPECTIOPI 259-88� 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNICHT�ONS <br />,� _..�r.�T,'�'� r� <br />.•iF�, <br />DRnWAGE i�� � . . . �� 1'TpAT� <br />�; �� � <br />�y�TEq •� � � VL�NNiNG <br />or _� � �,�i _ .! <br />STaEET <br />I ��... _... .. �-��:"� <br />, �.1 , : � �. : <br />APPROVED FOR CONSINUGTION� DnTE <br />APPROV[0 AS CONSINUCIEO <br />DRIVEWAY SECTION <br />� � <br />��_{ I'� LIP � <br />�..30�.�-- �_ 30., <br />The under,igned ewner here�y agrees to hotd an0 savc harmless <br />ihe Cdy of Evmell Imm any and all ctaims lor Damages. cosls. <br />e.penses. or eauses o� aclion �hat may anse because of mslaltaLon <br />nnn mainiennnce ol ihe �mprovemenl or oihnr ng��l-o�-way use <br />hrmto appLed loi and lurl�er aqrees lo remove same upon not¢e <br />tr�m me Cny ane to �eplace pu0i�c nro0rny damagea merehy. <br />Y J// ��/�( '.,! , +�'/�/ — <br />/ //.k <br />�9�iNAiU11E O� /•Vp�IC�N1 <br />.� � C) /.SD �� <br />npDRfSS <br />ff%Y.C.ln7.✓1i� �51�' — /�d'G�.�? � — <br />riirS�7 Gj/f Ziv <br />iELL�'��ONL NUMBCF ALiERNAiC' <br />� � / <br />