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�� �APPLICATION FOR RIGHT-OF•YJAY USE PERMIT <br /> e�:rrctl 1 0 y 3 3 <br /> � <br /> CITYENGINEERS � PERMITNO. �7 � � <br /> EVF.RETT,WnSH W GTON , <br /> TheUndcrsigned C �/�ilL���' �^�� � Tµ <br /> Hereby apulies lor permission to��,^;��'�✓cT �'� �7 � ��"����'� n�u/ — <br /> At the following lowtion ��/S SM 'TN- S T <br /> SKETCH <br /> (Work to be done) <br /> 5�/- R�AcNEp . <br /> ORIVEWAY SECTION The undersigned owner here6y agrees to hold and <br /> NO SCALE� save harmtess the City of Everen from any and all <br /> � . tlaims tor da�ages[hat may arise because of installa� <br /> tion and maintenance ot the improvemen[hereto <br /> I" LIP applied for and further agrees[o remove same upon <br /> r0" I -�-30�� notice from the City and to replace public property <br /> . da a5����L�c�i/7 <br /> S' turc of Appliwnt <br /> � % ��- � <br /> COPY OF THIS APPUCATION TO � ��,p���,U� 9 �`��d�, <br /> BE POSTED ON JOUSiTE. Telephonc Numbcr <br /> CALLENGINE[RINGD[PT. 259�8811 ZS�S-�y-s 7 <br /> 24 HOURS �[FORE CONSTRUCTION Date��7/�� <br /> CHECK LIST � Fec �� <br /> Watar valve Dept. Approvals <br /> Draina9e <br /> Cwb&Gultcr EOginccrs <br /> Sidewalk � Watcr <br /> Streel <br /> I , <br /> Communica�io`ns <br /> Inspcctor'sSi9nawrc Tralfic �� 1��, � "�'� `� <br /> � � <br /> Planning <br /> �ato <br /> Remaiks <br /> Notc: Oii!P��,�I to Customcr <br /> 1 Cupy lu f dc i (� �� � Appinvrd by <br /> 1 Copy IU Im��eclw . _` <br /> � fl..t�. A���������,il <br />