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� <br />everen j <br />� APPLICATiOCV Ft7R RIGHT-OF-VJAY USE PERMIT <br />Type or print Clearly wi�h ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />�� rUBLIC WORKS <br />��, EVEHETT. WASHINGTON <br />, APPLICANT (UNDERSIGNED) AND FIRM <br />I HEHEBY APPLIES FOR P[RMISSION TO <br />�� AT THE FOLLO'NING LOCATION <br />PERMIT NO. 7� � <br />�. <br />R� i9 A-� ��",��F . w, <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTAC� <br />c.C/�.� _' � � <br />�� a �� <br />���� <br />I� <br />� <br />��-� � 5;�� � �f�-��-� ��.,�-�� <br />� �,-� ��' S��J�-� 51�.�i- �-I,'„�� <br />��-�- v� ��-�--d.�,� CC � r b s D� ✓fl .�� �- <br />' - <br />3 ��a�f1a��"i (a'�'� <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />; <br />�4s� �i��� <br />� +�U�-['�S� <br />-�,_ <br />_�� C� n�l����5 <br />I� � I �. �4" P <br />I�C�� CA � _----5 —\ <br />�p, I `pC;cv�� Q�„� ,ol <br />�����t-In � � 1 a �t <br />� 3� �° g �� �j,� <br />, � ��ti�• c� � e <br />�i-� ' <br />l� c,4, o �, <br />� ��� c p _ 1���---- ---- <br />__:- <br />���- _�U�`��iv�warr�s� orv <br />COPY OF THIS APPLI�ATION TO BE POSTED <br />ON JOBSITE. <br />CAI.L FOR IWSPECTION 259-881 1 <br />2a HOURS BEFORE CONSTRUCTION <br />pRAiNAGE <br />DEPARTMENT APPROVALS <br />COlAMIJNICAilONS <br />FLANNING <br />� �� � �O <br />DFiE <br />, ...�i��.�_"I�'rl'�'�..i����il.� <br />jl" LIP � <br />� <br />I'30� �3� <br />The undersigned awner hereby agrees lo hold and save h�rmless <br />Ihe Ci�y ol Everell irom any and all claims �nr tlama9es, cosis. <br />expenses. or causes of action Ihal may ari=e because of mstallalion <br />and mainlenance ol the improvement or oiher nght-o4waY use <br />heielo dppLetl br antl furihe� �g�ees to remove sdme upo� nalice <br />Imm Ihe Ciiy ana to replace publ¢ properly tlamagCd Ihereby. <br />� ' % <br />/'-- <br />� $ISJNATURE OF FPPLiCApT . .... �,� � <br />�� ���� �- /9 -4� <br />ADp�E`S <br />_¢�_�f-_ ���y <br />„ <br />�� �3�-�«�F ��v <br />iC�EvnONE NUMBE�� �/ A��EFNALE <br />�� /�� ��y _ _ <br />o;n e <br />