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10424 10TH DR SE 2016-01-01 MF Import
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10424 10TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 6:59:59 AM
Creation date
4/3/2017 6:59:48 AM
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Template:
Address Document
Street Name
10TH DR SE
Street Number
10424
Imported From Microfiche
Yes
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I <br /> .- _ ._ i <br /> `T <br /> � everet3. I� <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> Type or print clearly with ink <br /> I PRESS HARD - YOU ARE MAKING COPIES I <br /> PUBLIC WO,RKS PERMIT NO.�-�-(� I <br /> I EVERETT.WASHINGTON � <br /> Sherstad and �9illiams I <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTFD, IF ANY: <br /> Construct 22 ' drive I <br /> HEREBY APPLIES FOR PERMISSION TO " <br /> I� I <br /> !� i lJn �nyC <br /> I AT THE FOLLOWING IOCATION <br /> /li>!��/ /!7 �i'l�v S� E'/%-7/ G" <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> I <br /> I <br /> i CONDITIUNS <br /> 1, Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> to same during construction will be repaired or, removed and replaced to <br /> the P.W. Inspectors satisfaction. <br /> 2. Existing driveways should be utilized for new homes, if new driveways have <br /> to be installed - the existing curbs and gutters must be totally removed <br /> and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br /> ALLOW ED. <br /> 3, All concrete removals must be saw-cut or taken out to nearest expansion <br /> joinL <br /> � <br /> � I <br /> I <br /> IDRIVEWAY SECTION <br /> IPERMIT IS VALID FOR 6Q DAYS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED � I" uP � <br /> I i I <br /> ON JOBSITE. � 30 ; <br /> I 30" <br /> r � i <br /> CALL FOR IPISPECTIQN 259-88 '1 � r ii <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> �he City of Everett Irom any and all claims lor damages. costs. <br /> expenses,or causes ol aclion Ihal may arise because o�installation <br /> and mainlenance of Ihe imOmvemenl or o�her nghPol-way use <br /> I hereio apP6ed lur and�uriher agrees to remove same upon noI¢e <br /> iwm ihe Ci�Y and lo replace pubiic properry damaged ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICAilONS <br /> ORAINAGE I�- . . TijAFFIC! � � <br /> i i <br /> FLPNNIN6 SIGN �URE 0�APNLICAN!T <br /> WAtER �._J _ I.r-�/y�i� �l'� Vi/' — <br /> 1 /->J <br /> STREET ;.:y� :- � ... p�/1?'>1/ 1 ��� � `��� I� <br /> I ' _ . ' '�;= . f ..�.t;r. GITv I <br /> (�... <br /> I i � � �:'[� 7 �� ,�/�J-� /� <br /> I APPfl r C 5 . N A E � : VCi `�� � <br /> , .� LJCI�Y:J [III'':I�� . nLTERNPIE �I <br /> - TELEPHONENUMBER <br /> � ' c� n�,4c) 4�I <br /> j �,�;'�' -�/ `�?7 �/ - ''� <br /> DPiE oniE <br /> ' APPROVED AS CONSTRUCiF.J—� i <br /> � coi�srr�ucrio���ns aui��� �EE 1978 <br />
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