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7821 BEVERLY BLVD 2016-01-01 MF Import
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7821 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/21/2017 8:21:49 AM
Creation date
1/23/2017 1:41:00 PM
Metadata
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
7821
Imported From Microfiche
Yes
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. -, - <br />Permd No. ; s- -... (.._ _.._ <br />everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned � c� � i E> f� c, � ��-� r v-� <br />Hereby applies ior permission <br />Af the following <br />SKETCH <br />IWork fo be donel <br />s <br />`c <br />�� <br />�, <br />i <br />�-'�'��'�'..7 �i����l <br />��'��.�! a'�dM?pis- <br />�p z�{is irJlJ �=i <br />�:� -� <br />� `��� • M�0 <br />�� ��aR <br />��.�b� �,�b.�c�-/� Ly ; �i, J' <br />Thc undersigned owncn c�reby agrces lo hold and savc harmlezs Ihe Gily of <br />EvereB from any and all daims for damages Ihat may arise 6ecause of �he <br />installation and mainlenance of Ihc improvemenl hcrelo opplicd for ond <br />fu�lher agrees In removc same upon noticc (rom the City and to replacc all <br />public properly damoged Ihcreby. <br />Inspecfor's Sigr.afure <br />.] <br />�ir� �" F� �� ;� , ,i •- , /I„ <br />Dafe <br />Remarks <br />�^v <br />v <br />�� <br />1� <br />" '' .j . <br />-�„ y� ,, <br />Approved By <br />/Cr'r?,�i .S���L�.� <br />Date Approved <br />.t <br />. <br />/� ��; � - t��_.��z'�,� Gv�r,�� <br />i7ri�'� OG'j S'��'�E <br />� 'r SiD,�: i�/AtaC: <br />Varionte Rcqui�ed <br />Ycz <br />No. .... . . . <br />i <br />!t i.: i , � �� -Yy''_V(�,. <br />Signalure o Applicanf <br />7.5/'� .�t,r�:F�r.r ib��'� <br />Address <br />�s � ' .�:���� <br />Teleplione Number <br />�'•-rl-7L� _ <br />Dafe <br />5 �i �� l� �'� :� (� <br />F�� <br />,D/EPi,. APPROVALS <br />Enginccrs �';'l �-. / G.' �/y/-� <br />Walcr�-�+-�- % ��—/4—?�� <br />`,Irr,•t ____ _ <br />
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