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4619 S 4TH AVE 2016-01-01 MF Import
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4619 S 4TH AVE 2016-01-01 MF Import
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Last modified
5/11/2017 12:49:02 PM
Creation date
3/8/2017 1:46:05 AM
Metadata
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Template:
Address Document
Street Name
S 4TH AVE
Street Number
4619
Imported From Microfiche
Yes
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_ _ . .. _ - - - ...._.._._ �_ ---- - -- - <br />�__. <br />�r� APPLICATION FOR FIGHT-OF-;V/1Y US[ PEkMIT <br />• everclt <br />� <br />:ITY [NGINE[RS <br />:'JERETT, WASHINGTON � <br />R�e Undersigncd � . � ? � �'L/ �� <br />icrcby applies lur permission to _� v nl5 fl� uLr 2��.�, R s�1jl..'� <br />� 4t the following location�� V ?~ .- LD y_.[;� LL <br />� iKETCH <br />� �Work to be done�' <br />SEE RT`r'AcNGD <br />fl� 7�' o GOT S7J�d�' <br />�y�// <br />� �' !� <br />1.Ob6G <br />PERMITNO. �' ��' � �/ <br />a <br />S1s7�L <br />.D,�v Zv�!/ �� /,.�,�y �'�-w �`/���; <br />gs.7� .fi�e .S�'�77�' �A� of�= <br />��� <br />2�� w..t/D /�../ �` �vlY�'Y /�./I�7� Q.. r� N�es��.°, <br />of .rth� �-7" �D,�.r �+,-"�' 7'''h-�°.. <br />DRIVEWAY SECTION <br />NO SCALE <br />� —� <br />�I'� lIP _—_—T <br />/ I <br />�,-'°'�{---�------{-'°'-I <br />COPY OF THIS APPI.ICATION TQ <br />6E POSTFD ON JOCtSITE. <br />CALL EfJGINff.IiINGDEPL 2500811 <br />24 HOURS E3[FOHE CONSTRUCTION <br />CHECK LIST <br />YJater Valvc <br />Drainaqc <br />Curb tv Guttcr <br />Sidewallc <br />Inspector's Si9nature <br />�6atc <br />Remarks <br />Notc: Original co Customer <br />� co�•v �o r�i� 10 t3 6 6 <br />1 Copy to Inspcctor <br />The undersigned owncr hereby agrees ro hold and <br />save harmless the City of Evcren from any and ali <br />elaims for damages that may arise becausr. ot installa� <br />tion and maintenancc of ihe improvement hcreto <br />applicd for and further agrecs m remove same upun <br />notice from the City and to replace puhlic property �� <br />y�� -7 � �s <br />dCy`.d w� fbY/%���� r G:� <br />G; <br />r� <br />��Zd�7, --- <br />Uatc <br />(��� <br />bept.�Aqprovals . <br />y'� � <br />Enr�inecrs_��_�/ � �'� <br />Communications <br />Tra(lic <br />Planning_ <br />ApprovcA hy <br />
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