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' /�PPLICl�TION POft RIGIIT•UF�1h4�Y US[ PI:Rh11T F <br /> �� ewvrU � <br /> •. �� <br /> r <br /> CITY [N(iINL"GR> <br /> EVGtif?TT,WASIIINGION PLRMIT PJO. ?- � ' <br /> �'� <br /> lltc Underiigned___ <br /> Hercby applics lor pennission to <br /> At thc tollowinq location -I�/�% ��%/f��� S 7. _ _ <br /> SKL'TCIi <br /> (Worklobedonel' I'/---�t'�t.fJT /.SSGJC.� S'Gl6JG-C 7` 7"G /-��GGF ���%_ <br /> �� �=n ��� oc�}N�.es�iir� s�i��� �:,�����,� ���,��� ,.,.� <br /> ' �- �_';:� -�F'-f��7 , - <br /> . � coP�1��' �a�t' � . � . ,h _ <br /> --� � ri;' :: :i-;�. � � T1G�l� Ul= T%�� / CfITC, i� L/-r :_; l �i.? <br /> r 5 �i'�.r.r (,I 1 r,��=, � 7;:� !�/g�U�-=/1/ T '/�/Fh'//l�i`IC:��-"-_ <br /> �:'!I( ��1 I�u ,�L / � :�l(�,;17- - ��� �-_ ,; ��>y _ <br /> DFG�EWAY SECTION Thc u idersigneJ owncr hereby agrees to hold ar�d <br /> r.e SCnLE save humless the City of[verett from any and all <br /> �' � tlaims for dama9es that may arise because of installa� <br /> +,� �ip tion and maintenance of the improvement hcieto <br /> applicd for and further a9rees to remove same upon <br /> �30" I _ __ I 30" I notice from the Ciry and to replace public properry <br /> ..t- --t �7 <br /> � damaged thereby. <br /> ,y�' <br /> Si9naturc of Applicant �i ' " <br /> COf'1' OF THIS APPLICAI"ION TO Address <br /> p[ POSTED ON JOI3SIT[. <br /> CALL ENGWEERING DFPT.259-8611 Tclephone Number <br /> 24 HOURS BGFORE CONSTRUCTION Date <br /> CIIECK LIST Fee . <br /> Wa�ar Valve Dept. Approvals <br /> Orain.ge <br /> Cir,b&Guttcr Er.gir.:.^r. - <br /> Sidewalk LVater � <br /> Svect � <br /> Communicationi� % <br /> Inspector'sSi9naWte Traftic %� / ' <br /> i <br /> Planning <br /> -bate % <br /> , , <br /> r <br /> _ i <br /> � <br /> Rr.marks -��-r-:�-L� <br /> t' .J <br /> A�ipio:�yl by �� ', / — <br /> �_ �, <br /> '� i�->l �/ ��!��f) 'r=c�" � <br /> r.u::Tq>.s3_n Qatc np�,iovcd� �� � `'7� ��j� li <br />