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9107 9TH AVE SE 2016-01-01 MF Import
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9107 9TH AVE SE 2016-01-01 MF Import
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Last modified
4/19/2017 9:45:37 PM
Creation date
4/3/2017 2:25:28 PM
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Address Document
Street Name
9TH AVE SE
Street Number
9107
Imported From Microfiche
Yes
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. <br />^ �everett <br />� <br />CITY ENGINEERS <br />EVERETf, WqSHINGTON <br />The Undersigned � <br />Hereby applies tor perm�ssion to <br />Ai the followiny �cation <br />(Work to be done) <br />AP?LICATION FOR RIGHT-OF-WAY USE PERMi � <br />DRIVEWAY SECTION <br />�0 SCALE— — <br />I \ +�•� LIP � <br />�30�=i--__------.� o„� <br />ICOPY OF THIS APPI_ICATION TO <br />RE POSTED ON JOBSITE. <br />CALL ENGINE6RhVG DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />�r<�� r��' «.�' <br />1 <br />C �� <br />��/%,j S,l <br />i <br />11..�� �, <br />IH9PeCi01i'S COi"! <br />11s88 <br />,, i <br />PERb11TNG. �" ' '� <br />The undersigned owner hereby agrees to hold •dnd <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of ins�alla� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry and to replace pubGc pruperty <br />damaged thereby, � <br />Si�nati•re of Applicant � � � <br />Address � <br />Telephone NumSer <br />Dept. Approvals <br />Water <br />Street <br />Communications <br />Traffic <br />Approved by �, <br />Uate qpproved : ��.' <br />� � <br />
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