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I <br />r <br />W <br />CITY ENGINEERS <br />EVF.RETT, WASHINGTON <br />Arl'LIt:AI IUN t-UH HIUMI•UI-•VVAY wt: F tHml l 'I JAI <br />PERMIT NO. 7k'1311 <br />The Undersigned ror—?��r%�r r <br />Hereby applies for permission to Zrr 1 rF?+N I r <br />At the following location I'V-11 <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />COPY OF THIS APPLICATION TO <br />BE POSTF D ON JOBSITE. <br />CALL ENGINEERING DEPT. 259- <br />Tt <br />24 HOURS BEFORE CONSTRUCT <br />ON <br />CHECKLIST <br />water Valve <br />zr5, <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Ft, °p"` <br />A <br />GZs;r <br />I <br />t CVVCYt: t I <br />i <br />i <br />-�esiaeut_e <br />a _70-0 <br />Cal T-7'71 �7 <br />Remarks ' 1131 <br />I tie unaersi inea owner r <br />save harmle s the City of <br />claims ford images that r <br />tion and ma ntenance rf <br />applied for nd further a <br />notice from the City and <br />damaged IN reby,--,� <br />jKj <br />Datumm Applicant <br />Address <br />3 <br />Telephone Number <br />Date <br />Fee /p <br />Dept. A! <br />reby agrees to hold and <br />.verett from any and all <br />ay arise because of in:talla- <br />ie improvement hereto <br />ees to remove same upon <br />o replace public property <br />y— (c .l- J— <br />? � a171'1'- <br />3-9—NP <br />)rovals aJz?3G <br />. <br />Communications <br />t <br />�9 _ <br />Approved by <br />CunamKile Date Approved <br />a <br />