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tiPPLICATION f OR RIGHT-0FW�Y USE h Lfi�c�l1 <br />1068T <br />cJlV ENGINEERS <br />FVCqETT,WASHINGTON PERMITNO.�_______ __ <br />The Undersignr.d ---.__ ._._____� _..-. ---- ---- . ---. -- <br />He.ieby applie: tor permission to � _ i <br />/ i <br />__ �_____ _ . , __ <br />M the following Irx:ation—_-'-- i � .� _. .--_ <br />SKETCH <br />(Work to be dnnc) <br />DItWF WAr Sf � I�iiry <br />NO Sr,AI E <br />+� <br />1 i I.IP -------� <br />' —. J <br />�i.3� � <br />r'tli'Y i�r i!II'� r�PP('; �AIitiri l:� <br />III i-�r-'i�„ , �q'�,IIf <br />i.., .. � � ��:i� DFPT. 7�.:, � <br />i �.�i.;�� , .� i �•riM;iii��. , <br />� <br />��,.. <br />.� .,; , <br />Inspectur's Signature <br />_ .___.__._ ... . _.. .._ <br />�ate <br />flemarks _ . . __ _ <br />Note: Original ro Cuslomer <br />1 CcpY to Fde <br />1 Cr VY ta h�specinr <br />'ii��i•7i'`;r . <br />�- <br />� . f. "'—�y..,. .f <br />��S <br />' � i <br />Ihr unili•,..iqnrd ur:iu�i hrml�y .t�prrt Iu hcd�� dn�l <br />save hennlcic Ihe City ol Evanilt �rom any ei�d all <br />claims fnr damages thTt may arisr. br.r.suce of insi.dia <br />1100 011f� f1131111Cfld/lf2 O} I�1P. �RI�JlOVEOIP.II( (lf(PIP <br />applied for and hirther agrer,s to remrne �amr up���, <br />notice irom the City and to replace public p�npei i� <br />damageA thereby. <br />Signature of Applicant --� �-• -�--- <br />Address <br />TeleUhone Number <br />Dah�-- . .. . __�._ _. . . <br />._. __:1:�_ ... . ' . _ <br />Fei• <br />Dept. ApproveJs <br />En9inelrs_ _ ._ _ _ . <br />Water------ ------- � <br />Street- _- -- -_.�__---- - <br />C��mmunica i Y <br />Tre}fiC u ��� i __ <br />Plenning r��� � %/ ._�__ <br />1 %�7 � ��" �l <br />" � 1 APl�rovivl h���� <br />� I <br />n,n,� n��i��,,, ,. � . .__ _. _._.. <br />