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311 ALVERSON BLVD 2016-01-01 MF Import
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311 ALVERSON BLVD 2016-01-01 MF Import
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Last modified
1/23/2017 10:13:10 AM
Creation date
1/23/2017 10:12:38 AM
Metadata
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Template:
Address Document
Street Name
ALVERSON BLVD
Street Number
311
Imported From Microfiche
Yes
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_ _ _ _ __--- <br /> EVERETT, WASH. Appruved By <br /> r <br /> The Undersigned �� / ' "/ '� � - t � � ( v � - F. i, � r �-� .� II ^ Date Approved <br /> Hcreby applies for permission to � " '-" �' � ' ��"� — <br /> At the following location � �� - ?� i r- ,r r;��/ � • <br /> SKETGH <br /> (Work to be donel <br /> i' 4�, <br /> --�— - '�---��-� <br /> � <br /> --_ _I - - _ <br /> _ _ __ _. _._ <br /> n <br /> � � '� v <br /> � �, <br /> �, , <br /> o� _ ,� , a�� i„ •a o:� �_ <br /> M � , , <br /> ' � „° 311 � <br /> I <br /> I cl <br /> ' �s j-- " --�- <br /> --- , � . <br /> ALVERSoN �,�_ ✓ =,', <br /> Tha und�rsigned owner hereby aprees lo hold and save harmless �he Cily of Variance Required <br /> Evmalf from any and all claims for damage� Ihaf may ariee because of the Yes_._._..._.._........... <br /> inalallalion and mointenancs of tho improvement herNo applied for and No _ <br /> Iwlher apraes lo remove same upon notice from Ihe City and lo replace all � ��� � � � <br /> public proparly damogad fharohy. <br /> '�GRJv G�+AY.��.::StCT.ION <br /> (""'"RivcwAr.. sicT�oN::::� � (Nv�.sc�cr) <br /> � Signalure of Applicanl <br /> �L;� �r 1b ti �r <br /> , •�� �� � Addrau <br /> ,�"'��. <br /> �S 3 5s 2 3� <br /> Tslaphone Numbar <br /> ` Dala <br /> Intp�cloii Signalurs = p m <br /> (� '"�— L'C/�-. <br /> ;3u3�� F°° <br /> oa�. <br /> DEPT. APPROVALS <br /> Remarks Engineers <br /> Wa�er 4i 3 %� <br /> Slreet <br /> -- --- _—_.. <br /> � Communicali <br /> iraf(ic <br /> Plonning �f��' <br /> Cali Engineering Dept. 259�88DJ ' NOTE <br /> 24 Hours before PROVIDE FOR CHECK WITH WATER '� <br /> cppg/�gr(ii�n jg ��;,���� PROPER DRAINAGE n�p7. FOR Y�ATEF LINE <br /> \ LOCqTIONS BEFORE EXCAVATION,/ <br /> � � ��. <br /> �• ��� `�V�iw f�7� `,��'': <br />
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