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103 76TH ST SW 2016-01-01 MF Import
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76TH ST SW
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103
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103 76TH ST SW 2016-01-01 MF Import
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Last modified
4/18/2017 11:23:03 AM
Creation date
4/18/2017 11:22:53 AM
Metadata
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Template:
Address Document
Street Name
76TH ST SW
Street Number
103
Imported From Microfiche
Yes
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�y/5try� <br /> everen <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON ^ PERMIT NO. V/0 _ <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED.IF ANY. L- <br /> HEREBY APPLIES FOR PERMISSION TO Awl 7 <br /> AT THE FOLLOWING LOCATION F/C.Jg �a=4 • IPV /� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED J I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 <br /> I <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages. costa. <br /> ea pensee,or causes of action that may arse because of Installation <br /> and maintenance of the Improvement or other right-of-way use <br /> hereto applied lot and further agrees to remove same upon notice <br /> from The Clly and to replace public property damaged thereby, <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC —_— <br /> WATER PUNNING NATURE Or APPLICANT <br /> STREET ESS 7 <br />
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