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7030 BEVERLY BLVD 2016-01-01 MF Import
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7030 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/16/2017 1:48:40 PM
Creation date
1/23/2017 1:25:19 PM
Metadata
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
7030
Imported From Microfiche
Yes
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^� `� /. J <br />—�, i / � <br />Peimit No. -: _ c�.,C�..:.:'._. <br />CITY ENGINEERS <br />EVERETT, VJASH. <br />The Undersigned_[L_I � <br />Hereby applies for�ermission <br />At the followir,g \ tion_� <br />- \��— <br />SKETCN � � <br />IWork to be one�� <br />\ � <br />� � D �, <br />APPLICATIC7N FOR DRIVEWAY PERMIT <br />everett <br />`. � <br />. � ;Q��, f- <br />� Approved By <br />(�GTC/Fii�.� �t.��%/ <br />Dalc Approved <br />to_ ni�sT—L T v�c,�J n; o..!i u s�t�G _�l1.,.=—f_�i'- �C�--,�------- <br />�/, i? : . V <br />� ; <br />0 <br />,�' � <br />v; <br />, �`5 <br />�W �'�� <br />\\"„';, <br />. �� <br />; <br />� <br />_ — pR. <br />�(��Z��C _�---- —. _ <br />/ � _ —� <br />I � <br />The undcrsi,qned ownen c�reby agrecs lo hold and sa��^ harmless the Cily o( <br />Everett (rom any and all daims for d�mages thal moy arise bemuse of the <br />installafion and mainlenancc of thc improvement herelo cpphed for and <br />(urther agrees lo removc same upon noticc irom thc Cily nnd to replacc all <br />public properly damaged thereby. <br />Intpecfor's Signalure <br />..�i1'1� �. /arC.Qr:-"-'� �`%.� �1 <br />Oafe <br />Remnrks <br />4 <br />� <br />J <br />b <br />T <br />J <br />� <br />�� <br />�W <br />Variance Required <br />Ya <br />No <br />__i�lF F�R� r <br />\ ` <br />i �� � <br />Signafure c <br />,-1 C �� f � �1'� : � � <br />i„ s°� <br />��RNt�lf� <br />p 'canr <br />�L� l�Z\�� <br />-z � :�" �, 1 �, l� �1 � <br />' � i � 7elep5one Number <br />l L���?f <br />D�lu <br />s nl �� F��= <br />Fce <br />DEPT. APPROVALS <br />r" ��v�i.; /�i <br />Enginccrs � `l'� �. �rf � <br />Wa�c� _ l< . i �T ; ['� -..Li�?i__._ <br />c�. �I ' - ... . _ . . . . <br />
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