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2204 12TH ST 2016-01-01 MF Import
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2204 12TH ST 2016-01-01 MF Import
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Last modified
11/20/2017 11:47:28 AM
Creation date
4/4/2017 9:10:26 AM
Metadata
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Template:
Address Document
Street Name
12TH ST
Street Number
2204
Imported From Microfiche
Yes
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� <br /> � I � <br /> I ' <br /> � <br /> I <br /> evr_rEl;-� <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � � <br /> ! Type or print clearly wi�h ink <br />� � PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS - 1� �� <br /> � EVERETT,WASHINGTON PER�VIIT NO.�,�J,�!_� <br /> I <br /> i APPLICANT(UNDERSIGNED)AN� FIRM REPRESENTED, IF ANY: _ <br /> ! LUo2� �v.�r� r�U PGL�GLG ,��i������ I <br /> HEREBY APPLIES FOR PEFMISSION TO_- I <br /> i <br /> j � -- I <br /> i AT THE FOLLOWING LOCATION ��2 �'` —1 �Z��' /' "—' <br /> I , 1 <br /> i DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: i <br /> ; p�� �-�� �,,�v�.� � ��� /� � <br /> ' /� <br /> � <br /> � <br /> , <br /> ; ; <br /> ; i <br /> i �,o� � ,� o � � � � ��-�S� i <br /> , _ _ _ --__ i <br /> �r w� a � e�— 5 �ee- � �a,��es � I� <br />' ' � r�s s � Z- `— � <br /> i v�� eve,r � � � � �c i <br /> � <br /> i � <br /> I <br /> `� — l Z — �/ i <br /> � � ' <br /> � I <br /> DRIVEWAY SECTION '�. <br /> PERMEY 1� VALID FOR 60 DAYS I'� <br /> �� � <br /> COPY OF THIS APPLICATION TO 6E POSTED i" uP I <br /> ON JOBSITE. �I � I <br /> ' CALL FOR IIYSPECTION 259-881 1 1�3�1'-� �30 i <br /> 24 HUUAS BEFORE CONSTRUCTION � <br /> The untlersignetl owner hereby agrees Io hold antl save�armless � <br /> Ihe Ci�y ol Evere�t IrOm any antl all claims lor tlamages. cosls. I <br /> expenses,or causes ol action Ihat may arise because ol ms�allahon �, <br /> � and mainlenance ol ihe impwvemenl or olher ngni-o�-way use <br /> � hereto aOPlietl b�antl�urther agrees Ie remove sanie upon nol¢e <br /> Irom �he Gty ano to replace public property dama9M thereby. <br /> DEPARTME�jI.T�APPROVALS I <br /> �' I <br /> / � � <br /> - SEWER • COfAIAUNIC I �-' <br /> I <br /> - , �i <br /> pRAiNAGE TRAPFIG . I <br /> � �/ � ' I <br /> r , <br /> WATEP VLANNING �GNATU Of A{ ICANt I� <br /> � � � sE Gsy�f�/rc.ff�iz�r i��' i <br /> srnEEr ,�oo��[ss � <br /> �+ �x/.� �if,� �J�i�s� /�oa¢ <br /> � ,� ��.� Z�P Q <br /> . APPROVED FOR CONSTF TION � On - �1 `d � — ��G. �' �Z-Z — S���J � <br /> TELEPHO E NU�18CR NLIEPN�iE !I� <br /> � 2lc %�__ _ <br /> qPPROVED AS COIJSTRUCTE�� DnrE nA*E <br /> I <br /> � <br /> ��:81:?UGI I�'1V�a.S i_UI!T ree 1978 <br />
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