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6525 BEVERLY BLVD 2016-01-01 MF Import
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6525 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/12/2017 11:28:33 AM
Creation date
1/23/2017 1:06:51 PM
Metadata
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
6525
Imported From Microfiche
Yes
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:, <br />�� � <br />� �Y� <br />CITY ENGINEERS � � <br />� <br />FVERETT, WASH. -_� <br />The Undersigned �` � <br />Hereby applies for permission <br />At the following <br />SKETCH <br />IWork to be donel <br />���� _. ., .� d , ..� <br />e <br />1 / <br />� � r' CLL��C/ r 7 <br />- Approved By <br />� �� /ti i97/ <br />Dale Approved <br />�. � <br />,;: <br />, <br />r _ <br />The undcrsigned ownen c�reby agrecs lu ho�d and savc harmless the City of <br />Everelt from nny and all claims for damoges Iha' .��ay arise because ol �he <br />installalion and maintenance of the improvement herero applied for and <br />(urther agrees to remove some upon nolice from the Ci�y and lo replace nll <br />public prcperty damaged Ihereby. <br />Inspeclor's $ignofure <br />? / <br />`) /T/- C �F'�.K�.;c i i //'t%� i i' <br />Dale <br />/ <br />� � ��,.. <br />\. / <br />�,; i, <br />I I \; <br />/ <br />, <br />Variancc 2equired . <br />Yes ... � ..._... <br />No <br />� S y G- '% � �/ <br />ielephone Number <br />' �_ ' '-' -. :-�, <br />i <br />Dafe <br />s N�� r�c <br />Frte <br />DEP7,. APPROVALS <br />, Enginccrs��-�. �^-`,L-cC r� ���/7/ <br />���� Watcr . '« ' . , ' / � J • %/ <br />� SVrcl—.--- <br />. , � ..', i . _ . _ . <br />i� <br />
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