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1515 W CASINO RD 2016-01-01 MF Import
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1515 W CASINO RD 2016-01-01 MF Import
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Last modified
1/25/2017 6:34:04 AM
Creation date
1/25/2017 6:32:14 AM
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Template:
Address Document
Street Name
W CASINO RD
Street Number
1515
Imported From Microfiche
Yes
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' =;' " APPLICATION FOR.RIGHT•OF-WAY USE PERMIT �,11 H� �' <br /> . . i:.yett _ . <br /> � — � � �J9 /-s..,. ' ���!�! . <br /> . n <br /> L)77�!' •�/.�"[`-�' j � <br /> CITY ENGINEERS /��1 <br /> EVERETT,WASHINGTON PERMIT NO.�B— 7�f <br /> lh�Unde�signed maz� l�^� — <br /> Hereby npplies foi pertnission to� ' �r �' - Ir � l4'S9NA l.T �l�W �� <br /> At the following location �-�� ���—C�S-tt�-lZ---rZ�r--- -- <br /> SKETCH <br /> (Work to 6e dnne) <br /> w � w�S GA S� ►J U Zc� �1.� <br /> _ _ �'�- � <br /> _ 3- � ., i, ti , <br /> W�� � �PI-lA�.r <br /> . _- — �, �s���,Lr � � �, , �ANj,N <br /> ANTiN �,o�z�vE �a+�ri � rzeA �o ve�u� <br /> Zy r <br /> � <br /> � � <br /> S --� <br /> -��- �� �—�-- 1 -- � <br /> 2 J <br /> d �Q�� � �� d <br /> (L p" � — <br /> - - ca�cN 3�su� cATcH SAsuJ <br /> � <br /> , <br /> •, <br /> � „�:;� i�. <br /> „ . <br /> , <br /> , ' • <br /> /�'� ' � , , � � <br /> � , ,�, <br /> „ . - <br /> DRIVEw4Y SECTioN The midersigneA owner hereby agraes to hold and <br /> No sCa�E save harmless the Ciry of Everett from eny end all <br /> ---- ---� r.laims tm damages that may ariu beceuse of Installe• <br /> � tion and maintenance of the improvement hereto <br /> �_11'_LIP <br /> opplied for and further agrees to remove same upon <br /> �30'�,�,__.. ___ �0�� notice from the City an to replacep ublic property <br /> damaged thereby� _ � (1� <br /> �^�,ySa:—s��, <br /> Signature of Applir.antt (� . � <br /> ZY,�?�2 �I ��c..��� <br /> COPY OF THIS APPLICATION TO Addresf -7 y��O <br /> f F1E POSTED O`! 10RSITE. � - � ����--z=�-L4------ <br /> iel=phone Mumher <br /> � :.�LL �':Gi`�EERIMGpr.P' ]548N17 � 1`,-�f=%r�'� <br /> I 24 ;�OURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee $a'-- <br /> Wacar Vaiva Dept. Approvals <br /> Oraina9e <br /> Curb&G•�Irer Engineers <br /> Sidewalk Water <br /> ' Street <br /> Communications <br /> Inspectoi s Signature 7raffic_ <br /> Planning <br /> are --- <br /> Hemarks- --�--- �. 1. q p � _ <br /> y0 <br /> Approved by <br /> CUi701Ai1� Datn Approved � -� <br />
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