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2421 80TH PL SE 2016-01-01 MF Import
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2421 80TH PL SE 2016-01-01 MF Import
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Last modified
4/18/2017 4:32:37 PM
Creation date
4/18/2017 4:32:32 PM
Metadata
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Template:
Address Document
Street Name
80TH PL SE
Street Number
2421
Imported From Microfiche
Yes
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-�3865 <br /> everell <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or Print Clearly with ink <br /> PRESS HARD - YOU ALE MAK!NG COPIES <br /> PUBLIC WORKS <br /> EVERETT, WASHINGTON _ <br /> PERMIT NO. <br /> APPLICANT IUNDERSIGNEDI AND FIRM REPRESENTED. IF ANY. 61,::- <br /> / <br /> L _ / <br /> HEREBY APPLIES FOR PERMISSION TO �A Tr , u <br /> IAT THE FOLLOW..I1/NG LOCATION_ 2,121— S_ E z( awn II <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY PHIS APPLICATION TO BE. POSTED <br /> ON JOBSISITE. I" LIP <br /> J <br /> CALL FOR ISISPECTION 259-881 1 30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to holo and son harmless <br /> the LC.ty of Everett from any and ell claim$ for damages. costs, <br /> n+pensee.or causes of action that may Anse because of Installation <br /> Pnd maintenance of the improvement or other nghbof-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> DEPARTMENT APPROVALS from the City and to replace public property damaged thereby. <br /> SEWER COMMUNICATIONS <br /> URAINAGE TRAFFIC !/ <br /> WATER <br /> PLAIIh!NG <br /> 4' ( T IGNA TITRE OFA IICANI <br /> cnr <br /> - �d <br /> Afi V L VS LTF I IL�V --! n.rF !in <br />
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