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. , <br /> , <br /> — s <br /> � 1 <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ��- Type or prin�clearry with mk f <br /> IPRESS HARD - YOU ARE MAKING COPIES t <br /> 1NOfIKS �� ���� � <br /> EV ETT,WASHINGTON PERM4T NO. `'—"1.�— ; <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> r 1 <br /> HEREBV APPLIES FOR PERMISSION TO `�U�OL�C-� 11.PAA� GGVILI LL�. ` �i <br /> /� ,, �p � i <br /> AT THE FOLLOWING LOCATION I I �� / �"�'1.�1K/�/ { <br /> DRAWING (WORK TO BE DONE) OR TNREE PLANS ATTACHED: �s �y � <br /> I W � � �"'" �"-`"� c�-vv ��.�n.�-c� �L� C�� ('`�'`y�" <br /> U� i <br /> i <br /> No � �� ���� ! <br /> j� - � a <br /> � s/is � <br /> � <br /> /� <br /> ��,� <br /> �_ � <br /> : �- <br /> � f <br /> �. <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS {�. � <br /> i <br /> COPY OF THIS APPLICATION TO BE POSTED + i" LIP � <br /> ON JOBSITE. I <br /> CALL ROR INSPECTION 7ta9-86�1 1 ����t �},30" � <br /> 24 HOURS BEFORE CONSTRUCTION The un0enlgned ownar heraby agrees�o holE entl aeve�ermleca <br /> t�e City ol Emm�l Irom any antl nll r,leima br aameBea ooats. � <br /> ea{renses.or ceusea ol ecbon ihPl may erise because of inslelletwn <br /> antl main�enence al the impm�ement or oUer nqh4ol�way use <br /> he�eto applie0 lor anE IutlOer agrees to remove fame upon notme <br /> irom Ihe Gty an0 to replau� pubbc proper�� 4nmegeC tnere0y. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUN6ATIONS <br /> ORAIN�OE iRaFRC /J/��/ / ' ' ,, <br /> _._. . .. , Ai�� ��VW�{�Y� <br /> ��� <br /> WAIEN -- �� --- PIRNNINL �i3NR,l1RF l- RPPLIC�M <br /> -- _��� �vc1Ee� _ <br /> STREET PD�REiS <br /> ` /5'.�� -��' -- —psz� / <br /> � �1 � C�iv ZIP . <br /> q OVED FOR 5T UCTION OniE �.��, — I L�7 �� <br /> ' TElEP110NE NUM9ER I11E�1�tE <br /> - 8 'suLY �1� S=9_ eo <br /> nv o ns o rnucre� o��c on,e <br />