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516 HAWTHORNE ST 2016-01-01 MF Import
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516 HAWTHORNE ST 2016-01-01 MF Import
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Last modified
5/8/2017 5:39:07 PM
Creation date
2/21/2017 1:19:31 AM
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Template:
Address Document
Street Name
HAWTHORNE ST
Street Number
516
Imported From Microfiche
Yes
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Cl <br />1 , �� <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT•OF-1NAY USE PERMIT � 11150 <br />PERMIT N0. 7g —.�8 <br />The Unaersigned _ /�-�!� = / "L �/9'f//(' C <br />Nereby applies for pertnission to ._ L�/�TA-1 9 �/� / C/f_ u/,4-f� 7`- /�i4-�� ,(� � n// <br />/ S' � .Fcr�ai'- <br />At the following <br />(Work to 6e done) <br />.LO% � <br />t <br />' DRIVEWAY SECTION <br />NO SCALE <br />� � <br />�P� LIP —�� <br />�o'�._.— �,so'��I <br />+ COPY OF THIS APPUCATIOY TO � <br />� F1E POSTED O� JOBSITE. <br />� C.�,�L c 1G": =EP,I:1G DE?7. 259-33I 1; <br />� 23 HOURS BEFORE CONSTRUCTIONI <br />CHECK LIST <br />Water Valve <br />Oreinage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks � � � � O <br />� <br />��� <br />�fr2K r2iG <br />�j P C'7�,'}LT <br />CUSTOM[R <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages tha[ may arise because of install8- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry and to replace public prooerN <br />uace <br />Dept. Approvals <br />Communications <br />Planning i <br />Approved by <br />Date Approved <br />� <br />
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