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5120 SUNSET LN 2016-01-01 MF Import
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5120 SUNSET LN 2016-01-01 MF Import
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Last modified
4/25/2017 9:12:20 PM
Creation date
3/10/2017 1:31:53 AM
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Template:
Address Document
Street Name
SUNSET LN
Street Number
5120
Imported From Microfiche
Yes
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everetl <br />� pPPLICATION FOR RIGHT-OF-WAY USE P°RMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />F'UBLIC WORKS <br />EVERETT.WASHINGTON <br />y �S(rc�') <br />PERMIT NO. � `� y 2�' <br />APPLICANT (UNDERSIGNED) ANO FIRM FEPRESENTED, IF ANV:.j'f�_�X �(1-(--(�1-�—�Ff�-�✓—� <br />� i <br />�/1 � �.. /�% C�i� ..i�.6�_.� �;- t�,L 2t� <br />HEREBV APPLIES FOR PERMISSION T01�---% 5#-65 <br />�i� � �...t.. �t <br />AT THE FOLLOWING LOCATION <br />!`!�,'.9i �'T��� <br />�/LC �[iir$cT' <br />DRAWING (WORK TO BE OONE) OR THREE PLANS ATTACHED: <br />0(I�ITIQiS� f�oOt separatlUl betwBE'a dZivev�aYB ie �Nl� t�` �'�' ����. '�1is <br />�eaait fa appiwe� fa� aonetsvctim af a crntinvoue 25 foot W�as o�iqitnllY <br />to oou�+s' both entranoes, rntirer tlian the w�o se{�arate driveways <br />p�'ak'oeetl• <br />C�se "II" asphait is required in t1�e right of way. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FO� INSPECTION 259-98 7 7 <br />24.,�IOURS BEFORE CONSTRUCTION . <br />r <br />_ DEPARTMENT APPROVALS <br />SEWER COMMU�WCAiiONS <br />1l <br />O�AINAGE •� iPAfNC <br />SLaEE* <br />/ �� : Z � � - ?� <br />�� ��� �T� <br />APPFOVED P� P CONST�UGTION oniE <br />APPROVED AS CON51R' .. <br />� <br />DRIVEWAY SECTION <br />� j I�� LIP _� <br />� <br />I 30" —_—_�.30,� <br />I��-- . . ,—\ -- <br />The vrMereiqnea ow�er li€reby agrees id"no�a-ana save rm rss <br />R�e City ol Everelb.imm 0�ry and all claims lor tlamages. costs. <br />ezpenses or c0uses ol action Ih31 may arise because ol installalmn <br />anA mnmi�nance 0�, Ihe qgP�ovement or olher nghi-obwaY usc <br />ne�eto appLe� lor an� lu•tp�! agrees lo �emove samc upon not�ce <br />trom Ine Giy ana �o,�eoiace pubbc p�opeiry tlamagetl ihere�y. <br />� _. <br />I <br />�� r nH. ..:. <br />l �j l ( <br />`V, / . ] V �� -4 •i� �•���'t"1�.�"�� <br />PpDRE55 �. •e }J� <br />b r;�,� 1 � � / <br />���� -f L'{n\ / 1 �,:1.' � � � <br />G�Tr Z�� <br />., �. n . ; , , <br />,• �, � , i , ��,_ — <br />i[LEPHONE�NU�[iE�� ALIEPNPTE <br />// - Z D Y'U -- <br />�A1[ <br />I1' I�� i:; �,�,�_���_�I��; <<E — 1978 <br />_ __.,,,,�E-+�-.v <br />
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