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4822 W GLENHAVEN DR 2016-01-01 MF Import
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4822 W GLENHAVEN DR 2016-01-01 MF Import
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Last modified
2/11/2017 8:32:53 PM
Creation date
2/11/2017 8:32:46 PM
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Template:
Address Document
Street Name
W GLENHAVEN DR
Street Number
4822
Imported From Microfiche
Yes
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—' APPLICATION FOR RIGH'f-OF•WAY USE PERMIT <br /> everen <br /> � -� l�z3s <br /> ��� <br /> C1TY ENGINEERS 75_ � I R <br /> EVFRE7"T, WASHINGTON PERMITNO. v <br /> TheUndersigned D�V�� <-•1�7MF'BFLL � <br /> Hereby applies for permission to CO NSTF' U T ��' �'�N � T'-� T:�P/t/.E I�✓H�' � <br /> � At the follcwing location 4B 22 WFST' GL�'Nl,f.^��;J I�''2. __ <br /> SKETCH <br /> i _, <br /> i \��UII� lV{lC VUIICI I <br /> I <br /> / 1 <br /> / II <br /> � � f ; <br /> ' ae�w cu,�cRErc- DRivFw,oy� � <br /> � � <br /> � q <br /> i <br /> � <br /> � 482Z <br /> z ' <br /> W � <br /> j 2� Q i <br /> � � W <br /> J <br /> � I <br /> � E� aP �x�sriN� �1.5� � I <br /> PAVEMGUT W ! <br /> � `�5� 3 <br /> , <br /> , . ; <br /> , <br /> ND SGAL� i <br /> DRwEwAv 5EC7, N The undersigned owner herehy agrees to hoid and I <br /> � NO SCa�E save harmless the Ciry of Everett from any and all i <br /> I �'— 25 � claims for damages that may arise because of installa- j <br /> '�� � �„ ��P tion and maintenance of the improvemen[heiero , <br /> applied for and further agrees ro remove same upon � <br /> 30 -� � � 30� noU f om the Ciry and to replace pu property I <br /> {--=}-- -,�-�------�---� <br /> '. da �ge the`e�q. <br /> � / I <br /> Signature of A icanf <br /> �.., �� / �di� /�.��. �I <br /> ��. COPY O� THI� APPLICATI�JN TO � Atld7e 51� � , <br /> I, BE POSTED ON JO[3SITE. {��� ��'y?/���1'� ' <br /> �� Tel ph ne Number / '�� <br /> ' CALL ENGINEERING DE°T. 259�8811 �, }�/� � ��� p S��'y�3� '. <br /> � %�1 I-10URo EtEFORF l'OA'STRUCTIOW ��� � � <br /> � , D te (r���� �� <br /> - - _ __ _ _ ! --+1�� 7 i2. SO-�' ���zL �� <br /> ' CHECK LIST � Fee � <br /> wacer valve ,Dea;. Approvals <br /> Diainage .��� ' <br /> Curb&Gutter Engineers '� � �<<�` `� �G<'� " ; � <br /> _ ��. ; , <br /> SidewalA;_ Water <br /> �,� ,. _ <br /> , � �/� _/�/; SVeet . Gi; <br /> �� • // `' ���: '� Communica 'ons � •�, - � - 7�7-7�` ��. <br /> � Inspector's Signature [�. ;J H !� Traf(ic - — — <br /> i i � � � <br /> / � - <br /> l �.' - -, 1 ���'., Planning� � ��� 7� � <br /> , <br /> ate — <br /> Remarks ' <br /> � Note: Original to Cu;tomer � <br /> 1 Copy m File '� �2� 8 � <br /> 1 Copy ro Inspector APPro�ed b , <br /> Y <br /> C :L_C U \. '-�[llvr L,' �/ __ <br /> — _ , -�' <br /> � Date Approved <br /> —c,� <br />
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