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6508 BEVERLY BLVD 2016-01-01 MF Import
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6508 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/12/2017 10:51:15 AM
Creation date
1/23/2017 1:06:18 PM
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
6508
Imported From Microfiche
Yes
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-- <br />._.. __ <br />_ ; , ,._. <br />Pennif 1Jo. �.,C,_.- :'._..,�".-:�.. <br />CITY ENGINEERS <br />[V�RETT. WASH. <br />APPG.ICATION Frit DRIVEWAY PERMIT <br />The Undersigned ��1 �� 7. ���!ti�'Y�[', <br />�fi'� . � <br />I�_.. � `_���_z�_ <br />- Appruved E1y <br />-�'�-�-- ' �T-L-- <br />Date Approved <br />Hcreby apolies for permission to 7"'1Jr'7A�� , r 7-� ':� � e r pi1 i� �7 ;-� i I;F/r./.�} !_ ,�� ,' i% /-;; •!� •';- ,� /= , <br />At Ihe following localion � rl'�� -- �.,� •^ 1i— �! `�.� �`� — i'l�f-l%� I'�/_ (%��. <br />SKET�H <br />(Work to be donc) <br />EVERLY <br />� =`_-�C-- <br />- — ---- -- <br />��,\ �. <br />` <br />I 6j � i <br />, <br />_ �ii.___ ____ _ __ ............ .... _. _ .. .�':. <br />�L ✓D. <br />The undcrsigned ownen c�reby aprees lo hold and savc harmless thc City o( <br />Everelt Irom any ond o�l claims for damages that may u:iee brmuse uf tbe <br />inslallation and maintenance ol the improvement hcrclo app�icd for ond <br />furiher agrees lo remove same upon notico from the Ci�y and �o reploce all <br />public properly damaged Ihereby. <br />Inspedor'i Signolure <br />. �ITF �'.v' C:.C�r/7 �%-/ �'%L <br />Dale <br />Romarks <br />, .i .. :. . ._. .._ ._ .,. .,. ------ <br />� � ��,r3 <br />� <br />:E7� <br />);f <br />Voriance Required <br />Ycs . ._.... ..__. <br />No. . ..._.. <br />,��/,i�/ �', ,,/..="�-� �+ � <br />�.r / / .. `<:�—%, <br />�'.� - � f :' .j�_c...� i�L�l <br />r - $Vafure ol A�llicanl / <br />/ /, .� ,:/ <br />�� ��-- � � ,- �� G� t%� � �'cf � '�'i�- %�l rr <br />� , drors <br />� <br />F / � --- ll 3.�___ <br />ielephone �Jumber <br />�f�<��i <br />^ Dnfc <br />S �,�D �Ff = _ <br />Fco <br />DEP�,[�°PROV LS <br />Engineer►�'- c'�'.e/' (,�) `�.��b%7/ <br />�! ' - '� _ ': : .%i <br />Water <br />$Ircef _„�_ � <br />r. �. . „ ,ns-�. ._____ _ _.—_-- �._-_�. <br />
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