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.. - � vcrctt - <br />�` <br />(:ITV FNGINFF�c <br />EVER6TT,WASHINGTON <br />APPLICATION FOR RIGHT-OF•NIAY USE PERMIT <br />�� ,. � . i . � ✓ ... ;... <br />PER(:11TIJ0._ ____ <br />-fh:: Undersigned _ �._. r,'1� r il ��{ o n� F-S ��i <- __.__ <br />li.uuby applies for permission to C � ns t �'u c}'�c _,?-j �[ o. � e: r�' %�C= ��N' ____. <br />nt thc folb�ving lor,ation-- �� l T�L_�'"i----.-5 �`...�.'— --.----- -- -�-- <br />(::brl: m hn donc) <br />t - <br />, <br />r_ <br />C;iIVEW�TI SECTI(!N <br />� <br />r.0 �sca�[ <br />�, <br />v i" �-ia <br />'.K'��P� 1� ----- -_ __ <br />t <br />. .- - --_....- --- <br />�', CCPY Oi= THIS APPUCATION TO <br />! Cf� POSI'ED ON JODSITE. <br />� C,aLL ENGINEERING DEPT. 2598811 <br />�.:'�; I-IOURS BEfORC- CONSTRUCTION.� <br />i CCIC LI� <br />' 1 �.:r Valv� <br />in �m <br />: �. ti vu[tcr — <br />��nvalk <br />i�� , . . ,. , .�,u�� <br />u..�.; <br />ii,�rinrks <br />�;ut.��. Original to Customer /� <br />i corv to Pf�e '�_ � 5 C) � <br />1 C��py tn In;P�'crn <br />Ti��� �.I�..r.,�;n � , n:�i I�„iru�� ,: ur.�.; � i� �Id :u:�i <br />.,,�bc li..�iul;r.,; liid CiiY ��i Gvaic(t I« mt any �nd cll <br />cloirns (or damu9es that may arise becau.e of installa- <br />tion and maintenance of the improvcment hereto <br />applied for and further a9rees to remove same upon <br />notice irom the City and to replace public properry <br />d;�m�,ed.di,�hy. . ' ✓ • <br />�/i�i%J����--�--C.,./ i'�iL .�/ilm�C'� <br />S��nature of A{iplicant <br />( � /��: x .�1 ,^ G- " <br />Addrest <br />—J—`�,�-��(. <br />Telc, hone Num6er <br />�;"-.1(. �'�. <br />Date —,�r---- ----- <br />N //.:�.' <br />Fec�--- __ _. .. __.._._. <br />Dept. pprqvals <br />� <br />Enginecrs . .:�_.�U '1:f,, '�" .. <br />r �- <br />W�rtr.r - � -------._.. <br />Street____... ___._. . <br />Ccanmunica[ions <br />,.�1fiC..�r..__�i� �� ...� ��il� %( '__ <br />i'lonnin9 _ . . . . <br />A�!proved by <br />��.ib• APp�nvu�l <br />