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. . =a., � <br /> w �� ' . . . _.'. . . . .. .__ . _' '_ _ "_ . '_. . <br /> ei•e.cit �P�LICATION FOR RIG'HT•OF-4tiAY USE PERP:IIT --� <br /> r�-\ i n - <br /> li„��� - '- - ''� .' . <br /> CITY 'c!JuttlEcftS <br /> [VERET�,I':ASHINGTON PGRMITNO: % / ` �i,�= <br /> .� . �-- -- -- <br /> 7hc Undersir,n.d_�� . •I `�,�.. <br /> Fizre6 a,pi;c; :! , �- _ -- - - — . <br /> Y f (ai permi;sion lo_ .`�.�• / ? •. !'� 1_: ' I::i,. '. ' i J ,. � <br /> � - I <br /> At tF.� follcv.�:�g lor,ation_ '%�.j! r�_;! r, ;^ -� ' — � <br /> �L_.r=.� <br /> . — <br /> St;ETCH — � <br /> (Work to �done) � <br /> �+ ' <br /> SiG I� T:';•!<: :.,{�(, <br /> I / <br /> � <br /> �� .l��h )��R <br /> � `/ <br /> . � <br /> „ /��� �, ,p��`� �c ! ! /ri �S � <br /> Na;�fy � <br /> . / / e �p c .:<,� r c. RY . <br /> . y � F �, �. �. , <br /> l � " .l / l Y �" �z..., i G.� e e <br /> ��� � e <br /> � � r / f �,r��er�y vu-�� ��' s <br /> � 6 e �- <br /> � � �., ( <br /> �• Pt., c e. . � �" . <br /> / <br /> � No w �..�° " Ff�'s <br /> ✓n"��P <br /> ..�- •�,- �- 7 ? <br /> �l,' �' � <br /> D�?IVEIV4Y SECTION The undersi ned owne�hereb a,rees ro hold and <br /> � NU SChLE ___„� ' save harmlz s thc City of Evic ett�from any and ail � <br /> I claims ior damanes that mTy arise because of installa• � <br /> � _ ��'� LIP __,_Jl � tion and maintenaace of lhe improvement hereto <br /> �,,0�____ ____ �30��� applieJ (or and (criher agrces to mmoee same upon <br /> � ' noi{catror�Ihe Ciry and to«plxe pubiic property <br /> d�6nar,�;J thcreGy. <br /> j)-; / � <br /> r:.:� �' t'_?`...'2..-�. <br /> S`�gnaWrc Of Anplicant �� <br /> COPY O�� 7:;�,,1PPI..ICA�I�i^(� TO- f1_^•ry����i'�%�_`-L/ S. fi�.r:,Q:�.%�' <br /> Addrcss <br /> [i: {'O$TF.D i�;J JUfsSil�f. }_S_5-��_�, t�y�. <br /> C!\t.L [�JCI'�:ccRl�JG !iEl%T. 25L�u8 i 1 Tdc��hone Numl�er 7��) '- <br /> .lr- .�ry� :�_ . <br /> c1 IiOUiiS ±.ccQh'c Ci�;•lr__ `_i_fION Date -- -- � <br /> ^HfCY, UST --- <br /> Fcc � <br /> W.�i;m Vaha -- - t <br /> ��^;JL �.)7IJY2iS I <br /> Dr,:maqa 1 S i r <br /> (:urb F� (iut[.�r � � Enr ine::rs. <br /> - _.. � <br /> _�" J .�.,_/.�."_'__'_' <br /> ..':d.:lv'd___1_ ��CJ '"__'_ _ { <br /> �Vit^r <br /> StrGet <br /> __._"' — <br /> --�r.�;=cto�'s5i�n,iurc -___ --�---- Cummunicatio. c_ `__--- <br /> ' Tnf4c__�__...---- _._— t <br /> Flannin� � <br /> ���;t- --------- ----�- ` <br /> ' --'---._—_�.__—'---------�-- � <br /> i,91!le!$5 _�"____'. "-_�'___... �_�__�____�.�_' ��.� 1 <br /> . 1 .� I�i�.11'.In.i•P� __ _.._ _ I <br /> ..;:C:' Vni •n; __ � <br /> _ � <br /> iC:r. 'nFdC � . <br /> 1 . .,.... ._ . � . . � <br /> -a.+. .. <br />