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4308 GRAND AVE 2016-01-01 MF Import
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4308 GRAND AVE 2016-01-01 MF Import
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Last modified
5/11/2017 10:04:24 AM
Creation date
2/20/2017 9:33:46 PM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
4308
Imported From Microfiche
Yes
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/ ./ � l�• �_i t_ � <br />,:�:'_..._._ ... .. <br />cvcrell <br />� <br />ITY ENGINEERS <br />VERETT,WASHINGTON <br />he Undersigned <br />ereby applies fa <br />I '-j 'Go L' I � UZ�� — <br />A°PLICATION FOR RIGHT•OF•WAY USE PERMIT <br />10974 <br />PEFMITNO. 7� �� 3 <br />t the }ollowing Ixation � O� �/r.4�f/O [�'�� <br />KETCN • <br />Vork to be done) <br />ORIVEWAY SECTION <br />NO SGLE� <br />'�--- <br />11" lIP � <br />r �� �l �T'30 1 <br />:OPY OF THIS APPLICATION TO <br />iE POSTED ON JOOSITE. <br />:ALL ENGINEERING DEPT. 259•8811 <br />4 HOJRS BEFORE CONSTRUCTION <br />:HEI;K LIST <br />Vater Valve <br />)rainage � <br />;ur� R� Gutter <br />idewaik <br />aapector's Signature <br />�ata <br />emarks <br />ote: Original ro Customer <br />iCopy+oFile 1Q974 <br />1 Copy to Inspec�or <br />SnE r97`.''A�N�D <br />�K <br />� <br />� <br />The undersigned owner here6y agrees to hold and <br />save hartnless the City of Everett from any and all <br />�laims for damages that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for d further agrees to re�p ve same upon <br />notice fjom�he City a�d to repi;p�€�¢ubJic!tiropertv <br />�� <br />Date . <br />Dept. Approvals <br />Enpineers � <br />Water <br />Communications <br />Traffic <br />Approved by <br />\\ <br />J <br />� <br />
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