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„ - APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br /> 11352 <br /> '� ��ENGINEERS ” <br /> EvEqE1T,WASHINGTON _, ; <br /> PERMIT N0. � <br /> The Unde�sipned.__ � ' <br /> Hereby epplies for pertnission to i i. -, ' � <br /> . . ' n <br /> At the followinp location_ � � -�1 �q . . _ ji, _ . — <br /> �� <br /> SKETCH � <br /> (Work to he done� • <br /> i ' � � <br /> � � ������� .� <br /> ��r� <br /> ,- � � Qrr� o � �r <br /> ' �- '� �,� �h�� <br /> � <br /> � _ _,� � <br /> -----�- _ �,� �J°� <br /> L� � <br /> V <br /> DAivEWAY SECTION The undersigned owner hereby ayrces to ho�d and <br /> NO SC4LE save harmless ihe City of Everrn from any and all <br /> � �i claims for dama9es that may erise because of installa� <br /> _ _ _—__. _ __-_. <br /> 1 i" uP � tion and maintenance of the improvement hereto <br /> �3o'w T- wgp^` . aPPlied for and further agiees to remove same upon <br /> • notice 1rom the City an.' to replace public property <br /> � damaged thereby, + <br /> � Signature of Applicant � --------- <br /> , CUPv UI� ll�ii„AP��I u.n11uN lu �� � Address' �-- <br /> � 13[ POS7 ED pN JUI3;I7 E. <br /> C:ALL FNGINEEFING DEPT. 25�J�8H11 I Telephone�Pumber <br /> I74 HOURS BEFORE CONSiRUCTIONi . Date � . �� �---- ---�-- <br /> CHECK UST -- — ° <br /> Fee _'�.'_--_ `l <br /> Water V.Ive ' • <br /> Drainage Dept Approvels <br /> Cu�b&Gutter "3 � >' <br /> Sidewalk Engineers__ �� � <br /> _l_ _—� — �� Water �'r <br /> //�/ � J'��J/// Sheet <br /> 1hsp�tor'sSi �MWre:�`��---, -� _. Communications -- <br /> Tratfic <br /> �/� �> - �� � Planning <br /> TSaic�---- -�-- � . <br /> i, /j '. <br /> -� - : <br /> Remaiks � - � - -- �-- • <br /> 11352 ' -- <br /> . nuwo��a b� <br /> INSPECTOR'S COPY �e AP�roved 4 � ql <br />