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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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Uil' EIJG'I��l��i,;, <br />EVERETT. WASH. <br />�"; •_.r�_G.,� <br />Approved By <br />('%'T� -' '�,1 ` '�� <br />The Undersiyned �' L I F-1- `) 1�U _�• �_ I�rl D^,"l oa�� Approved <br />Hereby applies (or aeri <br />� <br />Af the following om!ic <br />\ <br />SKETCH � <br />IWork to bc onef, <br />�o C�oi,1�7- A iU1r.N 1.�,�,�,��,r� �'�'--��'',�-L f:�_,7_!r", <br />!.. V <br />\ <br />^� <br />1 <br />o � � <br />, �/ v. <br />� ,5 <br />, �� <br />, <br />�W <br />, _,. <br />, \ <br />, , <br />% � <br />� pP-• <br />��R�vG _'�__ <br />The undcrsigned owncr hereby agmes lo hold and :avc harmless Ihe City o( <br />EveroR (rom any ond all doims for riamages Ihaf may arise becausc of Ihc <br />inslallotion and main�enancc of Ihc improvement h+rcro applied lor and <br />(�rlhe� ogrees ro remove same upan nolice from th,. City and ro replace all <br />pu6lic properly damaged thereby. <br />lmpecfor's Signalure <br />.S/TfL Ci,/rC.r�4 �`�.r3�/ <br />Dalo <br />1 ell ;.. .,:': ��,i � �1l:pL Z'.;9�l,i.l)�{ <br />i�i�bf5 5�'�OfB <br />1 ii _.irli,filyl IS S�aI�iC(�. <br />0 <br />a <br />J <br />n <br />Variance Required <br />Yes <br />No <br />��_lFF F1U d�4•9�"Dt� <br />( �_�; �� <br />Signalure ol p �canf ' <br />f � r r �`�.�. !-l. Lll `l <br />Address ( <br />�� ���?� A �� l� 4=' <br />���� - Telephonc Number <br />t L 1 I I�1l� <br />' � � oaro <br />I`''�"'•T"�_ <br />� !' �IC �lITN '�;,\i[IZ <br />L� �?i. FOR 4'OATFR LINE <br />LGI:AiIp':S F;f:FURF EXCAVI"f10 <br />a n! �% ri= � <br />Fce <br />DEPT. APPROVAI.S <br />. .�' �,�`.; /� <br />Engincer5.�' i' _ <br />woi�rT '-.�, 7 �c-i�—;�i <br />strcet —__._.-- - --- ----. . <br />Communicatioc�• A��� � � �n � � �� <br />TruHic_ - �� ��� , <br />Planning <br />._—.. ,_ ...'� �i; ._ _. .. __. -� <br />i'.PJf � ti �J�t�'�,IiVHI�G � <br />� <br />_ _ —....,,, � <br />
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