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5017 33RD AVE W 2018-01-02 MF Import
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5017 33RD AVE W 2018-01-02 MF Import
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Last modified
12/15/2021 2:47:17 PM
Creation date
4/1/2017 3:06:12 PM
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Address Document
Street Name
33RD AVE W
Street Number
5017
Imported From Microfiche
Yes
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i <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOP RIGHT-OF-WAY USE PERMIT <br />10195 <br />PERMIT NO. 7-5-7-7- <br />The Undersigned Cl1G✓,0/V N1 -,Cry Y <br />Hereby applies for Permission to CdNS7727/ CT 05' MYCRETE DR/VE11//7 Y <br />At the following location - 617 " 33 'qD AVF kl/, ' <br />(Work to be done) <br />30, <br />iVl SC 41LE <br />f <br />13r <br />.40 <br />DRIVEWAY SECTION <br />NO SCALE <br />I�- 25 - - - -{ <br />LIP p <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON uOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />NEW l2"C111 <br />56/7 <br />-/YEW CONERETE <br />DRIVEWAY <br />EDCsE OF E X 15 T7NG PAVFME/Y 7— <br />r <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from ary and all <br />claims for damages thzt may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />4f� u _ notice from the City and to replace public property <br />�. damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />5 Fee <br />,(�tr�e t. AA rrovals <br />Engineers-/r- 7J <br />-6aie <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 101.9 5 <br />1 Copy to Inspector AppfO,y s �,s ►� <br />Date Appro ed <br />
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