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.., ', �:��,.-;i� . APPLICATICN FOR FlIGHT-OFWAY USE PERb.11T � .� <br /> ,—. , . <br /> � ' � <br /> .. ��a- . - � . �. <br /> � � ' . .1 •% � . <br /> CITY I:NGINFERS � <br /> [VfkGTT,N'ASFIINGfON • PERMITNO, �n ' <br /> The UndersipneJ_�����J.J� � <br /> IlereLy a�es for purmi;sioKto � -ysa��+t�!/�, �-� � <br /> ✓ <br /> P.t the following location t c��� 5+ p __ <br /> 6 <br /> SKLTCii—' � — <br /> (Work lo bc danc) � <br /> Q� �,,i/�'�''�[��/•/� <br /> dAq. �,�rF� <br /> 1��A,'�n.,��.���`�'F�r�y„"'S(9�i '� S.' .A �p���� 4�� . i <br /> ` �v ����0�' � 6si9s'���ii <br /> l�,>;-�?.�:� ,Cc..��'c���'�— <br /> , � //��f7r <br /> DRIVEWAY SEC710N The undersi9ned owner hereby a9rees to ho!d and <br /> , NO SCaIE_ save harmless the City of Fverett from any and all <br /> r-- � claims for damages that may arise because of installc• <br /> 1�" LIP —�� tion and maintenance of the improvement hereto <br /> �,3p �—� 30" applied tor and i.•rther agrees to remove same upon <br /> T notice from the Cit!and to replace pubiic property <br /> dam 'thereby� <br /> SignaWre of Applicar <br /> � k/ <br /> COPY OF THIS APPLICATIOiJ TO Address �� u�� <br /> BE POSTED ON JOBSITE. <br /> Cl1LL ENGINEEfiING DEPT. 259-8611 �Telephune Ni��nber �— <br /> 2a HOURS BEPORf CONSTRUCTION Dat� '�' "���� �'d` <br /> CHECK l IST Fee <br /> Wator Valve <br /> Drainage Dept. Approval5 <br /> Curb& Guttcr <br /> Sidewalk Enginccrs <br /> Water <br /> Strcet <br /> Inspector's Si9naturr. — Commmiaations . <br /> Trafiic_ <br /> P�anninp <br /> —6ate . . <br /> Rem,rks _ 1� _� �-� <br /> ` APProved ��� �i��/.(�1��/��7g' <br /> CUel7O�7Cix n,�„ n�,.........,t v^��/ ' <br />