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5005 23RD AVE W 2016-01-01 MF Import
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5005 23RD AVE W 2016-01-01 MF Import
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Last modified
4/1/2017 8:36:03 AM
Creation date
4/1/2017 8:35:53 AM
Metadata
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Template:
Address Document
Street Name
23RD AVE W
Street Number
5005
Imported From Microfiche
Yes
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�_. - <br /> ' APPLICATION FOfl RIGNT-OF-I'u'AY USC. pCfih71T <br /> everMt <br /> �: 11� 5G <br /> � <br /> �� <br /> CITY CNGINE[FS � • <br /> r� % � , <br /> EVERETT, lti'ASHINGTON PERAIIT N0.__���'I <br /> TheUndcrsigned�„[:(1.��1���/'�=;� <br /> Hcreby npplics forpermission to r ,��• 'J'�^J ^' _1J %+ �.�_�r�'`Ll_�f !� �h/ _ <br /> � <br /> At the fotlowing Ixation ',—O^�,*i s?r�"— �� c'���!N � <br /> SKETCIi � <br /> (WorM to lic donc� . , <br /> c�F A�1-�c�`;,-� <br /> D,� �`o Cojrs�'frr�" <br /> �� ���%77 <br /> � <br /> i <br /> ' <br /> � <br /> . • . � <br /> x <br /> � <br /> . DRIVEwav SECiiON The undersigned owner hereby a3rees to hold and ! <br /> NO SCALE � . _save harmlr.ss the City of Everett from any and all � <br /> I <br /> �'��--"'--- ----� . elaims (or d;�mages ihat arise tecause of installa� <br /> �_ii� LIP �l tion and maintenance o ;h imprOvement hCrC[P � <br /> .a d furthr.r,a ees to remove same� on <br /> 30'�__ ____..______ I 30" I notice from he City lace public propertY <br /> —•-t' �I t�ta�C� , <br /> damayr.d ereby. \ <br /> dturc of Appli a�� <br /> Z�— ���3' � <br /> COPY OF THIS APPLICATION TO - Address <br /> BE POSTED ClN JOBSITE. Z�'�_3� <br /> CALL ENGINEERING DEPT. 2598811 Telephone Number �`-- <br /> 24 HOURS 6EFORE CONSTRUCTION ���a <br /> CH EC K U ST Fee f?J; <br /> Water Valve - �y <br /> Drainage ' �yDept�App{rovals <br /> Curb& Gutter Engincers��," Ll� � <br /> Sitiewalk Water <br /> Street <br /> _ Cammunications <br /> I Inspector's Signature Traffic ' <br /> Planning <br /> 1�are <br /> Rumarks — <br /> Notc: Original to Customcr <br /> , �°,�Y �� F��� 11 G 5 5 - <br /> 1 Copy to Inspector _ Approved by <br /> . __ ._. __. . <br /> �. :, <br />
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