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8316 UPPER RIDGE RD 2016-01-01 MF Import
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8316 UPPER RIDGE RD 2016-01-01 MF Import
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Last modified
3/8/2017 9:05:50 AM
Creation date
3/8/2017 9:05:46 AM
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Template:
Address Document
Street Name
UPPER RIDGE RD
Street Number
8316
Imported From Microfiche
Yes
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, �.;- <br /> 'Y � <br /> I I ! <br /> I �V���M <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> II Type or pnn�clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> ' PUBLIC WOF<S � ���� <br /> II EVERETT,WASHINGTON PERMIT NO. <br /> li APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:���� � ° ^��� <br /> I� HEREBY APPUES FOR PERMISSION TO ��S�: E X� S j/NG �«��n �n�VQ WG� <br /> � <br /> i <br /> IAT THE FOLLOWING LOCATION ojlL'� LYOOfi� .C��F �� ��V�"��� � �� ' 9'�v; I <br /> � <br /> / �f�— 7—�1'YO <br /> � DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> �I <br /> I <br /> i <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FUR 60 DAYS � �----.J <br /> I <br /> COPY OF THIS APPUCATION TO BE POSTED �— � i^ �iP <br /> ON JOBSITE. � 30" _ I 30" <br /> CALL FOR INSPE�TIOM 25�-681 1 �t� <br /> 24 HOURS BEFORE CCSNSTRUCTION Tne uoeersignee ownan c�re6y agrees to hol0 and seve harmless <br /> Ihe Cily of Everett trnm any and all claims for damages. rosis. <br /> I rMpenses,or causes ol aclion ihal mBy Bnse because ol installa. �n <br /> and maintenrnce of Vie impmvemenl or otner nghiro��wry use <br /> herelo appbed foi and furiher agrces 10 remove same upon nobce <br /> Irom Ihe C�ly and �o ieplate pubhc O�operty tla:nage.l IhereUy. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMl1NICAl10N5 <br /> DRAINAGE TPAfHC �n�• (.� �� <br /> /l"J1V` <br /> WRT[R PLAqNMG SIG UREOf APPLiCI.N� <br /> r� <br /> a�s� � ,e - Kd. <br /> I $TFGET <br /> �uf,2� � � y�q . S�'1u3 <br /> � � �T ��/ �/,Po c3�S - �Pii ��P <br /> I APP��� ONSiFUGiION n*E I <br /> iRE!`��UNE NUMOEq ALiCRNHIE <br /> �� --e?-/�-PJ 7 lo d�� _ I <br /> � �-"., �, ��avF������.,,-�,—��r,i n----- � �� ��,� <br />
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