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_ �� <br /> ;-r AFPLICA'fION FOR RIGHT-OF�Wl1Y USE PERh11T <br /> cv� 1 �.G � £3 � <br /> � <br /> :I7Y ENGINE[RS �I � I <br /> :V[RETT,WASHINGTON � PERA`.iT�Q__���-,_ ' <br /> i <br /> 'he U�dertigncA n "a , ��16C_K� ,� / —.--- <br /> Icreby aDP��es tot permission �o_G�P:'7R'��L 'T �_'��d?1'�CA'=--�'7--. �w .— <br /> \t the followinp location/]-O�_�,Si/)S/No �4�� — —'----- � <br /> KETCH <br /> Work to be done) <br /> SE� ATrRc/>�D ' <br /> . t;/ ' ' <br /> c� <br /> i%� <br /> DNIVFwaY 5!'TION lhe undersiqned owner hereby agrees to hoid and <br /> NO SCALE tave harmtess the CiH o1 Evere[t from any and al� <br /> f.--- —� claims for damaqes thr:may arise because ol installa� ' <br /> �I" LIP —� tion and maintenance of the improvement hereto <br /> I .'.__ 30 epplied for and further agiees to remove semc upon <br /> �',�Q�" .},_�� notl from the Ci�y and to reple�•�public properry <br /> da �ed Mer y .�s.�f—J /� ' <br /> �' " �LL�.L <br /> . i n ,yrejlF�p�hcan�,� <br /> � �..C'� �' <br /> COPY Of THIS APPLICATION TO AdA s , { ,,�/.� <br /> OE POSTED ON JOBSITE. � •4��``� u���s�— <br /> ele hon umber �± <br /> CALLENGINEERINGDEPT. 259�8611 ��.��. , �CG-5�77 <br /> 44 HOURS BEFORE CONSTRUCTION Date <br /> _ � _ <br /> CHFCK LIST Fee <br /> Wator Valve ' Dept. ApproVali <br /> Oraina9e � S t / <br /> Cu�b 6 Gulter � Engineert_T�J.�.L��* •• " <br /> Sidewalk Wste� <br /> S.met <br /> Communiatiom <br /> Inspector's SigneN�e Tralfie <br /> Planning <br /> 6atc — <br /> Remarks <br /> Nate: Original to Customer <br /> , ���v�a F,�� 110 2 3 —_ <br /> 1 C��uy to Inspe[tor Apt'�oved by <br /> Da�o Appiwed • <br />