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everen APPLICATION FOR RIGHT•OF•WAY USE PERMI f <br /> • , � 116 2 6 _' '�;� <br /> i � }�. � <br /> C.ITY EIJGINEERS � ��- � �=� <br /> EVERE'fT, WqSHIN3TON � ' ��� <br /> PERM17N0. '� v'J :-�� <br /> The Unde�signed PNI._T �c�,=+�� 5 �L� S �/j <br /> i <br /> Hereby applies tor permission to��ri�,r T��P �-f� �/�r '1 �p�p�`9i X C i � <br /> --�_P_�G��/ 2 O�✓- <br /> At the fallowing location__��p /'��� ��n � . � <br /> i <br /> ! <br /> SKETCH ' <br /> (Work to 6e done� � <br /> � o^ <br /> i ��C e,�� <br /> ie' . �t , �` � �S� � <br /> � �` �o � � <br /> O/� ,�b _ 2 � ' �8 E-K;sr,�« <br /> , <br /> �y��� No�,sr- ' <br /> ,�Qao CAvy <br /> � <br /> � I 1 � <br /> C,�ri,.l� ,�•..t,�ns �-.�t, <br /> Qa.!/w./�.+.��G /��J' ��N'�/�� Er�;fTi�vb . <br /> 7W. <br /> I'—�,q-- <br /> (�[.A t K � <br /> �-o p aQaK;�+� S'ra;V � f I' <br /> F--- AVP. So' .—_� � � <br /> L i <br /> � <br /> C'Ady ,�d <br /> �RIVEW4Y SECTION The undersipned owner hereb � <br /> NO SCALE save harmless the Ciry of Eve ett romtany�end eldl <br /> � � claims lor damages thet may ari�a becauu ai fnstallA- <br /> � ��P tion and maintenance of the improvement hcreto <br /> � �3-'—�— 3p applied for and further egrees to mmove s�ma upon <br /> �-� notice trom the Ci and to re lacy 61ic ro r <br /> �' P W+ P Pe 1Y _ <br /> ed thereby. . �- - <br /> ------- ---- Si na re /APP �fant C .� <br /> COPY OF TH�S APPLICATION TO Ad ees � <br /> BE POSTED OA1 JOBSITE. _� '� <br /> CALL ENGINEERING DEPT. 259�8811 � Tel hone umber � <br /> 24 HOURS !tEFOflE CONSTRUCTION �' �� _�� ' <br /> Oate <br />, CHECK L�ST � <br />� Waror Velve F.c o <br /> _ Orninaqe Dept. Approvtlt <br /> Curb$Gutter � <br /> Sidewalk E�A�^eers �� <br /> i <br /> Wa�er — <br /> /)_ Street <br /> Inspector's Signature <br /> L �' � Communicstions <br /> CTraffic <br /> Planning <br /> 6te _ <br /> --�_ <br /> Remarks <br /> 11626 — �- <br /> Aac��aa n� _'_ , <br /> ,:-.� . ��:ia <br />� curroM�w Dan Anaroved .�., �� <br /> , . :�` �,,N�. <br />