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e��r�n APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or print clearly wi�h mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERM�T NO. � ���1 <br />EVERFTT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPPESENTED, IF ANY: <br />HEREBY APPLIES FOR PERM�SSION <br />AT THE FOLLOWING LOCATION � <br />r90G AEB- 56���L• • <br />DRAWING (WORK TO BE DONE) OR TFIREE PLANS ATTAC� D/�.J, <br />f1; �iJQ. 9B�o3 <br />�OnIO �.CiJ✓� //Rt/J i v2 S�!/�!1 � %�L/li /in��i2JU/it�i6n11'S <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />pRAINAGE <br />WATER <br />STFEE� <br />DEPARTMENT APPROVALS <br />�pM1AUNIG/110N5 <br />TPAFRC <br />P�ANNWG <br />��-�.2T �/�/ /X/ <br />qppp ED F C N TRUCTION .. OarE <br />� ��'/ / , / -��_�� � <br />�. Zf- <br />/ J <br />� OVED AS CONST UC EU / D/.�E / <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />�� LIP � <br />i <br />� 30" I � 30' <br />i <br />TM1e untlersignetl owner hereby agrees to �oltl anC save ne�mless <br />Ihe City ol Everell Irom any an0 all claims lor tlama9es. cosis, <br />ezpenses. or causes ol aclion that may an<o because ol installetlon <br />anE maintenance al I�e improvement or ot�er righl-al-way use <br />herelo apPheE lor antl furiher agrees lo remove same upon notice <br />Iwm the Cily dnE Io re0lace pubhc property Odmaged Ihereby. <br />����- �1�� � <br />TELEPMONE NIIMBER FL EPNPiE <br />�Ifl��I�p�vJ � <br />onr[ <br />