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1002 BROADWAY 2016-01-01 MF Import
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1002 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 6:26:54 PM
Creation date
1/23/2017 6:26:36 PM
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Template:
Address Document
Street Name
BROADWAY
Street Number
1002
Imported From Microfiche
Yes
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. ' <br /> � everen <br /> Q APP�LlCATION FOR R1GHT-OF-WAY USE PERMIT <br /> vType or pr,nt Clearty with ink <br /> PRESS HARD- YOII ARE MAKING COPIES <br /> PUBLIC WORKS Q' �1 <br /> EVERETT,WASHINGTON PERMIT NO. (-(�� 1 T l <br /> i APPLICANT�UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> / <br /> HEREBY APPLIES FOR PEFMISS�ON TO/ - �'E'�� ` �-��A' / / -u� <br /> AT THE FOLLOWING LOCATION�40�` /p�.E�OiCDW+� I/ <br /> DRAWING (WORK TO BE DONE) OR 7HREE PLANS ATTACHED: <br /> � <br /> 1,/�Lu t` 4_rm� —� -�-,...�`.. a �rt�-J� Gr�-L �l�tl�.� <br /> �� <br /> L_ <br /> I � �- '' <br />� ; � : <br /> I ��S�l�f�lf � � .A � y <br /> i ; � �Q <br /> �._ ti (� <br /> � � ; � ° ° J� <br /> ,_ -_ -- m <br /> � - - - - GsR li � � ' � <br /> - .._.. _ . — <br /> I . - ---.._'__ - 1 �l win[I <br /> ., <br /> �"'sr. .:: �c <br /> � — - V' <br /> I , ,;. - _------� ---__ w5 �s . � <br /> - - C� <br />, - - ---- -__ � � � <br />� ,�, � ,� ;- . <br /> ; <br />: �� � <br /> �. <br /> ��J e <br />' � � <br />� <br /> DRIVEWAY SECTION <br /> PERMIIT IS VALiD FOR 60 DAYS � /7 " � <br /> COPY (?F THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSiTE. I I <br /> CALL FOR IPISPECTION 259-881 1 1�30 t �+ 30" <br /> 24 HUURS BEFORE CONSTRUCTION The undersiBned owner �ereby egrees lo hold end save�armless <br /> the City ol Evnrecl Irom any and all Uaims lor OemaBes. costs. <br /> eevense9.or causes ol acfion inat mey anse oecause ol mstallation <br /> anC memtenance o� Ihe impmvemenf or other ngh4ol-way use <br /> hereio appbea br and I�n�er agiees to remove same upon not¢e <br /> Irom Ine C�ty ana to repiace pubbc pmperty GamageC mere�y. <br /> DEPARTMENT APPROVALS <br /> St��f R GOMMUNiCATIONS � <br /> u <br /> DRniN4GE iqlliFlC fJ-�'� y`^-' � <br /> ��� / c <br /> 11AlCR PLANNING SI,:NATURE OF qPP(,ICANi <br /> �/JO� i?_n ADc.i <br /> ;iNEE* /t ��DRE55 G <br /> � � (��) � � �� � /.6 �P� %'���G� <br /> ��1. ' �'L�L i,rV � ��� orr zin <br /> a e�veo roR sr�'ucnoN nnrE r' <br /> ���- �.�y3 <br /> / / /�� T[lE�'HONE NURIBER ALiERNAIE <br /> _ (: -/( ., -r.//j�'/G��J — - <br /> EO AS CO �i CiED OPiE oniTt <br /> �nnicTHUCTION;AS fIUILI" �« 79�� <br />
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