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f,, <br />_� <br />���,�.,.�� <br />�;�:*� <br />CITY FNGIF��f:RS <br />EVE(IETT, VvASHiIdGTON <br />�, . <br />�rri Fl ✓�, ,,�. <br />APPLICATION POR �IGlil'-01�•WAY US[ P[Rh11T <br />�, � <br />rcR+nrr rio._� �L! � — <br />� <br />Thc Undcrsi9ned � � �[� -�' ;f_� L.Gl � f_._ � / - <br />Hureby apPlics for permission to _����%�'�G' � � � ?�/ � !�}'-`�l�t;��_��['lt�i --- <br />ri <br />At thc iollov:ing location r.'� . � .� '��Li'_ __l./`� --� -� <br />{Work to 6c done) <br />5�� /��"7'/�� if�= � <br />�yi Pr-�d-� �.�t� <br />�/rti,-a�, �� .� -�-Q-f� -a-� � �- /� <br />� 9j <br />�� <br />pRIVE1'!AY S[CT10�! <br />NO SCALE <br />� I'� lIP � <br />I-;°.ri- - T-_--- �3°� <br />COf'1' Of THIS Af`f`LICAIIOf! TO <br />BG i'OST[D OtJ .10[3SITL". <br />CnLL EPJGR�:EERIfdG DEPT. %59�5511 <br />"!.4 IiOUi;S CF.FORE COfJSTRUCTIO� <br />CHfCKiJST <br />W;nnr Velvc <br />Ctiaiita��r -- <br />Culb t�t (iuli�,r � <br />tiidi�w:ilk ----1-- <br />Inspectoi's .;�; ,�.�twu <br />.. _--.__. _.__--.. _ _ _._. <br />D�it�t <br />. _. _.___...... _._ .. _. ...--_._-_-"-.'- <br />lirncul:� <br />IdUI�:: (hi�l���.:1 IuCu,tyni..� <br />... . ��. i i .. e i_ <br />�r•-r.�c<� ��-�L�-�0��✓� <br />,�� <br />The under.ignecl owncn c�r��by a�recs to hold and <br />savc harml�ss the City of Eaerett (rom any and sll <br />elaims ior d,ma9cs th. t may zris^_ becausc ei inst;:lla� <br />tion and maiuten,inec of the improvement herto <br />applied tor and tur,her agrees to remove :a�ie cpor, <br />nolice from th� CiD/ and lo r,:place public p;operty <br />dam ,ed thcrchy. u,? ? {`y <br />Si9na tin o i\pr.li�,nt � -- <br />-�'�'��-�' '�'-'" ---- <br />>-�.�i 4� � i�'�.. . <br />Addn '. �---- <br />J .'� r/ i ! -%,n..� � � ) . :+ <br />�.-n._�f����_ _, �;�<<�f��-_�:.� <br />Tcicphone Plund::�i � <br />��S-3 l_�.—� �---'_—'------ <br />Datc <br />.��3Y' �; _��%; ------ <br />fce • <br />Dcpt. Appro��als <br />Enpinccrs— --------------- <br />Walcr---------_.---'�— ---'---'--.._... _.... <br />SlreC[---'.-.-.-.'.—'-"- '-----`--' <br />Communicotiuna......-.-----'— -- <br />Tra ( I ic_ -----'-----.-'-."----'-- _.-- - <br />Planninq_. _._ ....... <br />