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2903 PACIFIC AVE 2016-01-01 MF Import
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2903 PACIFIC AVE 2016-01-01 MF Import
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Last modified
2/25/2017 7:28:21 AM
Creation date
2/25/2017 7:27:46 AM
Metadata
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Template:
Address Document
Street Name
PACIFIC AVE
Street Number
2903
Imported From Microfiche
Yes
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. _ . _�-. . <br /> everen APPLICATION FOR RIGHT•OF•WAY USE PERMIT �119 9 <br /> � � f': ✓/-Si a N <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. 76_ I��_ <br /> The Undersigned�VJ//�/ �(l S�l� �J �' (ZC rJN U S '7Tr �T 1 i i�" <br /> R/�n . <br /> Hereby applies for permission to ./ -r ��r- _, y� " ' � <br /> C Gry-' / <br /> — ���d/Si�k/ �+�f v/�� OlAni- P�T�Pn� � H ��/i. _ �' � <br /> At the to�lowing location��j�Q_ p� yy��l���. '—T <br /> SKETCH <br /> (Work to be done� <br /> �� � �y " //°`. �r,- ---�.�..,.__-�- t _ <br /> , <br /> �- �' SfA� � cr f� � r S/�"' .a _ � ; • <br /> 0 <br /> ;��e c �� -� �,� .a�E . S.a F j J.�-3 R� �l, o <br /> „ �n��� � <br /> �c"" � �Hv-�.iJ ' � �AnpS o "' � / <br /> I ( C� A �R , j <br /> � l�1�E� . ./;�� � � �� <br /> / �'1 � <br /> /� 1 5 L� A/ �' � �:� h. D � /�� �� ¢ \;\ . <br /> ir m ! <br /> N � � • C.� r"�' � � t W- � .� '�' <br /> I � � `� ` '—' <br /> � <br /> 1�,.,�er �.\ --�—�' _ � <br /> ' / � <br /> _�". . r��+�L� 7 , � <br /> �• � � � �\ <br /> ) y �, g �a.r �, <br /> ql�,�„�e�� U �a^�T� r� I Ir� ' ��IJ \ I�___. ♦ <br /> < < a�+' � 4 <br /> ��,�r�, —��r--i�--T� �� '� <br /> .;�'� � ,� k , c�� <br /> � QS <br /> � �� <br /> Cv/✓GRr„� v� V GoN.%�LL, ' �� <br /> ��w'ftd� � W �` /W > <br /> � y� ��_ <br /> —_ __�� �..___�.v '�.- __. I- .c,Z--.=___ <br /> DRIVEW4Y SECTION �/�✓�' s/, The undersigned owner hereby agrees to hotd and <br /> � NO SCaLE save harmless the Cisy of Everett from any and all <br /> � claims for damages that may arise because of installa• <br /> ��" L�P �1 tion and maintenance of the improvement hereto <br /> ��3��� �30" applied for and further agrees to remove samc upon <br /> notice from the Ciry and to replace public properry <br /> damag�,.tdt{�r7�z� �, d�.�E' . Ov.�. s.t,e f <br /> J <br /> Signature o(�qpplic t ��—"�1•`�`" <br /> I--- .29e> � /�lc. �_ A vP f_v�✓.�w. <br /> COPY OF THIS APPUCATION TO � Address � <br /> I BE POSTED OiV JOBSITL. ��.5_,Z � �,.�� �J$Yo( <br /> ICALL ENG��dEERIPIG DEPT. 25&8811 I Telephone Number <br /> ��4 HOUriS �EFORE CONSTRUCTION� Date J�� / 7 � <br /> L�---- — <br /> CHECK UST Fee 3� "' r/. ,:t,��—�/.YT_ <br /> Water Valve <br /> Drainage Dept. Approvals <br /> Curb&Gutter <br /> SiAewalk Engineers <br /> Water <br /> Street <br /> i <br /> Inspector'sSignature — Communications <br /> Traffic <br /> /' n Planning _ <br /> a[e // 1/ <br /> �/ <br /> Remarks <br /> �1 � 9g - <br /> Approv:. I by <br /> � .-�..Tnri. .. . . . <br /> n <br />
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