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3028 12TH ST 2016-01-01 MF Import
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3028 12TH ST 2016-01-01 MF Import
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Last modified
4/4/2017 9:36:33 AM
Creation date
4/4/2017 9:36:25 AM
Metadata
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Template:
Address Document
Street Name
12TH ST
Street Number
3028
Imported From Microfiche
Yes
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everen <br /> � APPLICATI��N FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAKWG COPIES <br /> PUBLIC WO(iKS � <br /> EVERETT,WASHINGTON PEitMIT NO. �� � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV�. _ _ <br /> HEREBY APPLIES FOR PERMISSION TO <br /> —y,�Q�—k •� �� �•lr�. �� <br /> AT THE FOLLOWING LOCATION `�i"1 �J �z 7 K S� _ <br /> DRAWING (WORK TO BE UONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PE�iMIT IS NALiD FOFt 60 DAYS �_ _� <br /> COPY OF THIS APPLICATIOf�i TO BE POSTED i" �IP <br /> ON J08SITE. I <br /> CfAf�L Ff�R INSi9ECTlil9�9 �59-881 7 1�30"— T � _L30" <br /> 24 HOURS BEFORE CONS�I�RUCTION The un0ersigned owner hereby a9rees to �old nnd save harmless <br /> Ihe City oi Evere�� Irom any and all claims br rlamage5. cosls.�� <br /> expcnses.or causes ol acbon Ihat may arise because ol mstallalion <br /> antl ma�nlenance ol Ihe impwvemenl or nt�er nghl-o4way use <br /> ��e�ato apPhed Nr antl ivriher aqrees to remove samc upon nohce <br /> trom �he Ciiy an� to rePlace pu�l¢ properly tlamageU I�ereby. <br /> DEPARTMENT APPROVA�S <br /> �;F�:f t� COMMUNICATIOV� <br /> JR�-iN4GE iRAFFIG .' �i���✓�" ' � <br /> I �� `l <br /> WNTER � � P:AtINING SiGNM1IU�EO� nPFLIGFM <br /> -- �-�— -- SO/f; — /J��,,,p/ S,C. <br /> siaeer � :..uo=ess <br /> % • � ,� � �. ��r� 9�,�c y <br /> ' u.�'�� ' �`�.=,�, /: - / 7� % <br /> cnv tio <br /> AFPROVED FOR , 5Tft CTION ' � cnrE � I�/�G 7�S' ��� <br /> �� �' � iEIF'vMONE�JUMNEiI AUERNniE <br /> %l <br /> � sr�r. �� - � 9 <br /> aPP O EDASC NSfRUCT� DniE �^�� <br /> �;";��TI?UCI IOf�I/''.S 13L'll 7 ,Ft 1978 <br />
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