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. .��. �. : <br /> .r..._..._..__._.w._..�--w-...,�. � <br /> d <br /> H <br /> � APPUCATION FOfl RIGtIT QF-WAY USE PERMIT <br /> . . evi��cN � .��'n"' <br /> � V•° <br /> CITY ENG�NGENS <br /> EVfHEI'T, WllaiilNGTON P[RMIT NO..I..� � ,_'� � �,�� ,_ <br /> The Undersipned h�`'� n� ��/J-11�/f,�_. <br /> Nereby apPlies for permission to�,["�,�5[y,7J��•_._�___��_�-_�'�Z.,�_�.�9�'�ff��- _ L� L��.�� II <br /> �.— / - . _____.. <br /> ._�.------..—'_...."—.�y--'_.'—/ —_--'---�--'-`--7"„----....__..__._.._.. ___. . . .. .- _.._.. . I <br /> At thc following location��1..��'_4�'[/:�_.����`=____. :��..�-.._.—_. ._.--'-.----- -.._.. . ._.._ <br /> �_ _� _.—`�..��---_�..__----------_._ .. ------ <br /> SK[TCH <br /> �V�mk [o M!dnnc) <br /> �'G`r_' /�77/a'C/��t> 1 <br /> ,I <br /> O� <br /> � <br /> � <br /> ORNEWAY SECTION Thc undcr:ipnud owncn c�rchy up�cr.i tn holA anrl <br /> NO SCA�E savc harm�es:ihe City ai Evcrett trorn any and all <br /> �---'�--' --�-""'—� claims tor dnmagos that may arise because of iixtaila� <br /> � ��" UF �� tion ;md maintenance ot thc imprnvcincn[hcicto <br /> � —� oppli��d }or end fur�hcr agrecs to rnmovc samc upon <br /> I 30,—' I —�+ ..-----, 1�30"� nolicc lrom tiie Gty and to rePlaca pu;�lic properry <br /> �. ..� <br /> damancd thcreby. <br /> �, �/ f <br /> / L�y �����f_'.�L'G'._I—_.____. <br /> Si�na�iu`e�bf !� ��,icant � <br /> Adc t715 --' � <br /> COPY OF THIS APPLICATtON 70 Y ,(; ,? /� <br /> BE PCSTED ON JOBSITE. +�`�L�`.;%��L.I�.�"���l��lX. <br /> Tclephon•IVumbnr <br /> CALL ENGINFERING DEPT. 25�J 8811 �� � <br /> - -1:_,.--1'-�/'�'-- <br /> �24 HOURS E3EFORE CONSTRUCTION U�tc � <br /> i_ _ �' <br /> I -'/S= _�a. ._.__� <br /> 'i.,�. .. _�-__ . � <br /> CHECK LIST ��o,' � <br /> Water Valve De�Approvah <br /> Drnina9e � 9 ��T��� {J//"��� /' <br /> Curb&Gutter En incors_. �;.f�"'YL_�.r <br /> Sidewalk t"latcr _ <br /> itrmt <br /> Communications___ ` � ' <br /> Inspector's Signawre Traftic__ <br /> Planning `__ <br /> a� te -- — <br /> Rem�rk� ---'— — <br /> �lote: Oripinal to Customer — <br /> , �oPy To F,�e 110�J 9 <br /> 1:opy to Inspectnr Approvetl by <br />