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6021 GLENWOOD AVE 2016-01-01 MF Import
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6021 GLENWOOD AVE 2016-01-01 MF Import
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Last modified
2/11/2017 7:43:01 PM
Creation date
2/11/2017 7:42:55 PM
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Template:
Address Document
Street Name
GLENWOOD AVE
Street Number
6021
Imported From Microfiche
Yes
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^� APPLICATION FOR RIGHT-OF•WAY USE PERMIT � � � 2 '� $ <br /> everett <br /> �� /�, r� J, L ' <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT N0. 7 8— � �' <br /> g �/�/7 l/ �//� � G,: <br /> The Undersi ned__.�— <br /> Herebyappliesforpermissionto �n.NSY�- "� 2 1l'� /' /'�" ��'r"` ��-� 'c <br /> At the following location �+ G 2O � � �� C �F�7 W �'1��c� <br /> 'L- 2S' � Co.+ c l7�� 1 <br /> SKETCH <br /> (Work to be done) <br /> 7 _n� <br /> � L o�' 1- �(�'(C''� "�P/� <br /> SC'u'1�C' `�Li-GP/ I� <br /> rvprJ' <br /> � <br /> \ <br /> 4 � � <br /> \ D��/�,c � <br /> , i � <br /> `2 d ZU <br /> T� <br /> V .a 4 _a� <br /> �° � 4� �` <br /> �,��-?�� <br /> ' Da -� es� ��� <br /> �j�•�nWoo�C �✓C' �/�.l �G.�'C.� ` �/ <br /> � .i� <br /> � � ;J t r�,.,j D/� ��- <br /> �l�l ��� �ew s/w�' !� wwoo �, � <br /> OtiIVEWAv SECT�ON � � The undersigned o�vner hereby agrees to hold and <br /> NO SCALE �/�/7 � �-� save harmless the City of Everett from any and all <br /> f.---- —� ' ' claims for damages that may arise because of installa- <br /> } " L1P —�1 tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30';,�__.�—___.�3� notice �rom ihe City and to replace public property <br /> damag thereby. <br /> t � ����� <br /> Si9na u��STApplicant <br /> �� ��y �i� i� �,��� T <br /> COPY OF THIS APPUCATION TO �Addres�---�� �,,��./`N��p � <br /> BE POSTED ON JOft51TE. Telephone Numbe�� <br /> CALL ENGINEERING DEPT.259�8617 �2�� // /57 �$ <br /> 24 I?OURS QEFORE CONSTRUCTION Date <br /> CHECK LIST Fee�— <br /> Wacer v,lve , Dept. Approvals <br /> Drainage <br /> Curb &Guttcr En9ineers <br /> Sidewaik Water <br /> Strcet <br /> Qommunications <br /> Inspector's Signature Traffic <br /> Planning <br /> a te <br /> Remarks � �n�t� <br /> G (a <br /> Approved by <br /> eUs7OMSa n.�ta .,,proved a <br />
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