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� �. __ � � <br />. _�_.__ , r_ -,_ _- _ --- —___ _ _ ______-�..r, <br />� � . <br /> ~evcrcft <br /> APPI_ICA'�'ION FUk RIGHT-UF-N'A'v' USG FC!;MtT <br /> � 1099�� <br /> CIT`i ENGINEERS <br /> GVERLT7,WASHINGTON ?ERM1! N0. y�� .�.�,�'� <br /> The Undr.rsigned.�,�,�:��_7��� f,��i�� ,/�N.Z.�.'�_ �a / ---- --- ---- <br /> Hc�eby np�lict for pennission !o �—���'u.�T'�'__ '�_�.-_..�..-_�_._ _..���7T-'�ll._�•..T .���/..C.�' . <br /> —`-.._..�._----__—_ -���---- -'---.—._.__._------'-- -.. ...._............._ . <br /> �.1•' ._. <br /> _.. <br /> At the inllov+inp loeation_�._:� �e:'�ThJ_ �(�F.. , �;7_� <br /> SYETCH --`-- """ --- --- <br /> {VJork t, be ciono) <br /> 5E� ��->�'r1 er�.�%,�� <br /> � � <br /> �� d �i' ' <br />� • J,a ,f <br />; �q�,,:,,at.;,:a;� <br /> ,�. ��; <br /> A�l y : l <br /> �1 . <br /> r <br /> � <br /> ., � <br /> � <br /> DRIVEWA'I SECTION The undr.rsigned owner hereby aprces tn hol<1 and <br /> NO SCA�E sava harmless the City of Everott lrom any and all <br /> (�'���` ,��� � —� claims tor dama�es that may urisc lH�cau:r. of mstalla- <br /> � I 3 ( LIP �I afDnlicd�for and further�ag eesrto remu e xeine upon <br /> i"--��'- " " �—'�-"--'"-� �- -�`'—� notice from thn Ciry snd ro replace publir, properry <br /> dnrt�n�Ad Ihcrr.h ; <br /> -r'-J� ��/-,i�SZ'�, , <br /> �Si��natu ol pp icant � /'---.'_.- <br /> I� CpPY OF ThIIS APPLICATION TO Addiets , � <br />� BE POSTEO ON JOBSITE. /7 �: � // r'� �,(��� - r/� <br /> 'Fc!e„honoJjt�`;nbi:�t,.�7�—.��,-_�.! .f�ti{:-_��f:� f <br /> CALL ENGJNEERING DEPT. 259 H817 J�l �, <br /> ---_. 1'S.'1 ._: __11..Y_"�..5'`_-- - ----- <br /> 24 HOUR3 BEFORE CONSTRUCTION Datn � <br /> — ------- L�.._ <br /> �CHECK '�IST FQ" -- +�r�r:�_C ,//�i1•'�'~ i---- <br /> Water Valve <br /> — � 6�t. �,�P o�o�� <br /> � Dramac,e � �, �� , / � <br /> Curb F�Gutter �_i��� <br /> E��ineors_�,.. _ /- <br /> Sidewalk <br /> Watcr <br /> S1fCrt <br /> __"'.__. _"_'.. ._""_'__"__"__._"__'.'___' <br /> Cmm�mnications. <br /> Inv�zctor's Signature Traf fic � <br /> Plar.nin0---------- <br /> 'Tiate <br />� Remark� ------ ----._- <br /> Note: Originel to Customer — <br /> , ��Y �oF��e 109�9 <br /> 1 Copy to�nspector Approved by <br />