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5102 DELAWARE AVE 2016-01-01 MF Import
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5102 DELAWARE AVE 2016-01-01 MF Import
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Last modified
2/12/2017 3:03:35 AM
Creation date
2/12/2017 3:03:29 AM
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Template:
Address Document
Street Name
DELAWARE AVE
Street Number
5102
Imported From Microfiche
Yes
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_ -- i <br /> everen <br /> - � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLIC WORKS �� ZS CJ <br /> EVERETT.WASHINGTON PERMIT NO. <br /> - C�#rc r _�v L? � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPF��SENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> �/li��7-2-- <br /> / <br /> � � Q � ��L!/� <br /> � AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THRFE PLANS ATTACHED: <br /> �� <br /> s� nas � Foorrcu�s ,qcrz�� �Y `r�Dv2c-D � �voR� F1R-5 <br /> gc��u►J w/o �P � RMr'r � <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS I� � <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> Oh JOBSITE. �gp�� � �L,r3o"„I� <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The untlersignetl owner hereby agrees to hold and save harmless <br /> the City ol Everelt Imm any nnd all cloims br tlamnges. cosls. <br /> expenses.or cnuses ol nction tbet may anse because ol installanon <br /> and mmntenance ol Ihe improveme�I or olher ngh4ol�way use <br /> herelo aOP��ed br an0 lutlner agrees lo remove same u0on notice <br /> Irom Ine Cily antl ta repl0ce pu0hc propeity Oamaged Ihe�eby. <br /> DEPARTMENT APPROVAIS <br /> SEWE� COMMUNiCAtIONS <br /> DRAINAGE TRALLiL ' —� <br /> WATER PLNNNING SIGN ipH�OF IGAN �.� II <br /> / <br /> STREET .—_ \P 0 S � ' /'��L�� <br /> � % � �I ' Y <br /> � �. �� � �. , � L <br /> � , ( �1! • �� y� �� � �7 2iP I <br /> . �i S �� � (, L �J� �j <br /> A RO O �7 NS C DAt[ - �5 ��f/ J � � <br /> � ALi[fiNAIE <br /> �� � TELEPMONE NUA16[11� <br /> �n�i S'i. .� i. <br /> � L - ----3 - -( ��.27/ i — <br /> �CU IED l <br />
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