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APPLiCAT1+01� FOR RIGHT-OF-�,I!/AY IJSE PERMIT <br />T.�pe or print clearty with ink <br />PRES�� HPRD - YOU ARE MAKING �OPIES <br />FUBLIC WG'nri5 � <br />EVEftETT. WASHINGTON <br />PERMIT NO. � Y � �"�'� <br />APPLIceNT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � � r e /e � � '���''� � %� � <br />HEREBY APPLIES FOR PERMISSION TO �V �� y�f ���� L� � G`,/7G' /� ( T G/YI 'vPl� <br />� <br />AT lHE FOLLO�YING LOCATIGN <br />DRAW�VG (WORK T(; BE DONE) OR THREE PLANS ATTACHED: <br />��� /t� <br />� � <br />rE'�eIU�C�" �-�"F� <br />Ow �� �' U" <br />IS YALlD FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POST! <br />ON JOBSITE. <br />CALL FO�i IfdSPECTION 259-881 9 <br />24 HOURS BEFORE �JNSTRL�CTION <br />DEPARTMEN'fAPPROVALS <br />DIIAINAGE TRAFFIC <br />v � �i i <br />CONSTRUCTION/E,S BUILT <br />Z� -� <br />� � <br />I'� LIP <br />� 30" � _ 30" <br />i- <br />The undersigned owner here0y agreos lo holtl antl save harmless <br />ihe Ciry of Everclt imm any ana all daims lor tlamages. costs. <br />expenses. or causes of action iha� may arise �ecause ol inslallalion <br />and .mamtenance ol �he improvemenl �� oiher nghl-qi-way use <br />�erelo applietl br antl furlhe� agrees Io remove same upon nolice <br />trom Ihe Cily and Io reptace publ¢ property tlamaged Inereby. <br />��_/c f++.�(t i( C �t/c'.< � r�/ <br />51 AiUREOFFPPLICFNi - <br />� � ✓ .�., r�C� <br />�.�Ft'FT ,1..��,�/ %Y;(�'�G <br />CITV p�P <br />7�/�- i� 'y �'s-- y��%/ <br />TELEPHONE NUMBER AIiERNFiE <br />� i; 'O <br />