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� • APPL:CATION FOR RIGHT-OF-WAY USE PF.RMIT ��23 'l <br /> . '� cvc�^tl <br /> �� ,�' <br /> � i;� �= ,/. C . <br /> r,ITY ENGiNEERS Q <br /> EV[RETT, IYASHINGTON PER�AIT N0. 78— I'yCJ <br /> Thc Undersi9ned�.�1����i�_% l�(t �!�i _ <br /> Hereby applies for permission to��J,j_i-3�GCT r�S-� �;�„yc•,�e•Tr- �E��C�t�,✓.� _ <br /> �— <br /> At the foltowing location, �-�— c'� � _ / O �/� .3 ��U ��J r .S� <br /> SKETCH <br /> (Work to be done) <br /> ,2 c 5. <br /> � c,a ,z <br /> (�.Al'r1L� <br /> C � <br /> �� � �' ;�C, �r <br /> � � <br /> �, �1 s— <br /> ¢ <br /> 3 <br /> �� <br /> J � <br /> � � <br /> V � <br /> r / � � <br /> i � � ) ' <br /> i _ <br /> . '� <br /> DRIVEWAY SECTION The i�ndersigned owner hereby agrees to hold and <br /> NO SC4LE save harmtess the City ot [verett from any and all <br /> f' --� claims tor dama�r.s?hat may arise because oi instatla- <br /> R j�•� ��p tion and maintenance of the imnrovement herem <br /> L�— _—= I applied for and (urther agre�s to remove same upon <br /> F•_3O —�} -^��� notice�rom the Ciry and to replace public property <br /> �}"------ --- � '1 <br /> dam� d thereby. <br /> � C�r� � � <br /> -.l��:t;� � �'`� .-� ,' ,�� <br /> .��atur of Applicant JJ <br /> ?���i',-�' '��.cJ ct1 .i� <br /> �COPY OF THIS APYLICA-iION TO � <br /> I L'E POSTFD ON JOBSITE. I ����a� U <br /> Telephone Number J <br /> I CALL ENGIiVtERING CEPT.259�8Ai1 .�'•,.9 K- 7 d <br /> 24 FIOURS CEFORE CONSTRI CTION Date <br /> CHECK LIST Fec — <br /> 1Nater Valve Dept. .4pproval5 <br /> Drainage <br /> Curb L'a Gutter Engincers � <br /> Sidewalk ._._ Water <br /> Street__ <br /> Cbmmunications <br /> Inspector's Signature <br /> Treffic <br /> Pianninp <br /> atc " <br /> Rr.r�,;ks -- -,� -- --� <br /> .� 1.237 _ <br /> Approved by <br /> CU.`TONfiR Ddte(lpproved � <br />