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Ieveren <br />� � APRLICATION FOR RIGH?'-OF-WAY USE PEr�1141Y <br />Type or print cleady wilh mk <br />�i � ., PRESS HARD - YOU ARE MAKING COPIES <br />I PUBLIC WORKS <br />I EV[RETT, WASHINGTON <br />I' APPUCANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />i <br />�i HEREBY APPLIES POR PERMISSION TO '�� �� �� � _� <br />1 <br />� <br />� <br />AT THE FOLLOWING LOCATION � � ��"�� -- ' I —� " ��"y `� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />\\ , <br />�/� <br />Ir� <br />� <br />�/ <br />, �\ <br />'ll faER11A1T IS V'ALiD FOR 60 DAYS`.\ <br />�' COPY OF THIS APPLICATION TO BE POST! <br />I� ON JOBSIT't. <br />� CALL FOR INSPECTION 259-881 1 <br />I 24 HOURS BEFORE CGNSI'RUCTION <br />DEPARTPAENT APPROVALS <br />— — - —_ <br />SEWEl1 COMMI)NiC�TIONS <br />URMNAGE TRAFHC <br />i�1 <br />LVATEP ._ � �' ~ PLAfYNIrG <br />� Ci i <br />L-.- <br />i <br />snv�er t�.,'. . ' <br />.J. �: ; �/, �.i <br />-..!/// '.i� l � . <br />APVFOVE� FOR CONSTN TION. '1� � ~ �ATE <br />! 1 <br />1 �� ��' �� <br />APPROVEU AS CONSiflUGTfO '" OAiE <br />REFEPCIJCE C:UPY <br />� <br />/ <br />PERMIT NO. n�����- <br />� vl'/ .r <br />SECTION <br />30" <br />t(�c untlersigneU owner hereby agrecs to hold antl save harmless <br />Ihi�Ciry ol Everell tmm any antl all c ims lur damages ws�s. <br />�xpAlises. or causes ol ac�ion Iha1 may an � because ol ins�allanon <br />an�� ri�,�inlenance ol Ihe �mOroveme�t or t�ei uphi�of-way use <br />hClL`�O �J[�phed lur antl lurtner agrces �o rem �e same upm� nolice <br />I�om Ihe�(:iiy antl lo replaCe puhOc Vroperly�uama9cU Ihr.�eby. <br />� �,�� '1 ..J <br />!— � � ! __� iIy(/ S ! + �`j�a.%:i � <br />Giv , 21P <br />_, •�-f. l _ <br />f[1EV110NE NL1Ml3E AUEqNAiE <br />d. �.�� --. <br />u.��E <br />.._ �,�.,-,.•e.�=a. ..,..�_._ w.�.s... ....... .._,. <br />1978 <br />� <br />