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APP:.ICr�T10N FOi? RlGNT-OF-tNl�Y USE P[RMIT
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<br />CITI' ENGINCERS
<br />EVB'nl?TT, 1'lASHItJGTON
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<br />Thc Undn,�xi ned �._.; ��_..c>..-.s._::__—.- .SC.t!i.'.�.�,..�=----- --
<br />Hr� chy aPPlics for penniuimi to __ _�__L�_i�:..:+. :�-i-,u:;- �..�,-•`: �-
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<br />AL the toilaving lo�onr.n-------'-------�---- --._. ------'--
<br />SKETCH �
<br />(6Vork to be donel
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<br />URIVEWnV SEf.T10N
<br />NO SC�IF
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<br />COPY OF T�-iIS APPLICATIODI TO
<br />BE POSTEL� ON J06SIT[.
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<br />I CALL ENG!'JEERING D[PT. 259�8011
<br />I24 HOURS, H[PORE CONST9UCTION
<br />CHECK LIST
<br />Watnr Valve
<br />D�ainage
<br />Curl� & Guttcr
<br />.Side�+_alk__
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<br />Inrpector's Si�nawr
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<br />-IF�tc
<br />Nemarks ----'--' .__..
<br />Notc: Oriyinal to Customer
<br />'t l'�upy fo Filc 'i � �j t ��
<br />1 Cn.:�, �o Insp�.��„� .._ _ .. .
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<br />Thc undersiqned owitkn c�rchy ,!�rces to hold and
<br />sacc hartnless �he Ciry ol f:vcirtt trom anY ����� ���I
<br />claims for tlamagrs Uiai maV ;�rise F.ecausc ol installa�
<br />tinn and maintenance of the improvemr.nt hereto
<br />opplied for and turlher aprces to ie.movc samc ulwn
<br />noure Oom thn Ciry ,nd to replace pubtic propeny
<br />�I.i.naged thc�eUy.
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<br />Su;;�„�ture�oi APplieanl"i
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<br />Dafe
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<br />Faa
<br />. Dept. Approvals �
<br />Er9incer5--. �— --- _---.---
<br />Water_—.-`_—_ '-- '----.
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<br />Ccmmunicatinru__ —.
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<br />Plannin ���__� � r-^_",�— �'' ..
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