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5413 S 4TH AVE 2016-01-01 MF Import
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5413 S 4TH AVE 2016-01-01 MF Import
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Last modified
5/10/2017 10:46:58 AM
Creation date
3/8/2017 1:57:00 AM
Metadata
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Template:
Address Document
Street Name
S 4TH AVE
Street Number
5413
Imported From Microfiche
Yes
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everen <br />� APP[.1C�1'fON FOR RIGHT-dF-WAY USE PERMIT <br />Ty�e or print cleaily with mk <br />PRESS HARD - YOU ARE MAFCING COPIES <br />PUBL�C WORKS � <br />EVERETT, WASHINGTON P�RMIT NO._ � � • � ! ` <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br />:EREBV APPLIES FOR P[� MISSION <br />AT THE FOLLOWING LOCATION +� y�� `� y/// r' V� G'L� �` �T�%=�} -�y� <br />DRAWING (WORK TO BE DONE) OR THREE PIANS ATTACHED: <br />C�c�� ��-��o �, <br />i�lilct�- ,Po r�c o �, g t �I� `Z <br />c�ir � v e �va w,�+ i� � 2 ��n.,� � � c. <br />� ` <br />�`��N .Mu S k- IO� �a� P� . <br />� <br />, <br />V - �_ z_ z - �-�.� <br />� � ,����� <br />PERMIT IS VALlD FOR 60 DAY� <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL POR INS�PECTION 259-881 7 <br />24 HOURS 8EFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />Isucei� — — <br />DRAiNAGE <br />�co^.�r.�uvicnnor,z � <br />f NAf HC <br />PUNNING <br />APPROVEDFOR GONSTRUCTION on*E <br />ni�ri�ovmnscur.�.,rnur;il: -- - - -- - <br />DRIVEWAY SECTION <br />� -� li <br />�� � I" LIP <br />�30 -� �30�� <br />The undersignetl owner hereby egrees to hold end save harmless <br />p,r Gty of Evwetl Imm any antl all cleims lor Oamages. cosis. <br />repenses. oi eauses ol acUon Ihat may anse beenuse oi mstallaUon <br />ane meiNenThce 0� Ihe improvemenl or olhcr�i�gh��o��W�y use <br />�creto apphed �or antl Iwlher ag�ces lo remove same unon nohce <br />IrUm Ine C�ty nnrl tu reDlete pv�bc O�opm1Y 4:�^'�grd IM1c�cUy. <br />' il!1 <br />� <br />_ � � �� <br />`.,�'iAiLRFOtGC4��ICqN (��` r.`���� <br />/�)�%'�Y��� ( � � .. ..�.0 11 <br />n pH6. � <br />i: 7 ^.�..� I r; j•7 � <br />_ L i�� _t,�,_ �� �5-- <br />,;� L, �--- -,• <br />-� , ��i�J,�-L�/J �_ <br />�[LEPMONENlAIB6 (� ��1 ll //il 1 A �+!4/!E <br />u i� � <br />V <br />
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