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1203 BROADWAY 2016-01-01 MF Import
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1203 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 7:09:03 PM
Creation date
1/23/2017 7:08:33 PM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
1203
Imported From Microfiche
Yes
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_� <br /> .., <br /> � ``.� . everett � <br /> . �Permit No. .. �.,:�:......... - <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> GTY ENGRJEERS 1 <br /> EVERETT, WASH. Approved B i <br /> Y <br /> � - , r � � <br /> The Undersigned , �'�'�. ' i ' 'Er� , � � —c Daie Approved <br /> Hereby opplies for permission fo J >> !� ^-' '' � '' � i/ � � ^ � '-� ' � -� � r � ' % ' <br /> . � (_ <br /> rJ .7%-,. .�_,J- <br /> / v <br /> At the following loca�ion � 1 ` '" " - �-� <br /> � <br /> SKETCH �—�—'�--�_ <br /> IWork to be done) I �`� � <br /> , ------� \ \� <br /> � � .�' <br /> / `��� <br /> 1 <br /> •�.r� � <br /> / / � ,/ .�� �.A�. <br /> ,/ 1T <br /> `1 �I�Ci' � �'.'1 <br /> � <br /> :\l <br /> ��� <br /> „j r Y <br /> � y r� a. <br /> �' � 3'�'1 Sn -' � <br /> �,� i Y}y. # k ,.��.. <br /> ( I� },t <br /> _�'�y��Y�. u L'� �1� �v� 4X"� y. <br /> r. ['� <br /> The undersigned owncn c�reby agrces to hold and save harmless the City of Variancc Required <br /> Evercll from any and all da�ms for damages Ihat may arise bemuse of Ihc Yes .. .. .. ... <br /> installalion and mainfenance of �hc improvemenl hereto applied for and No . ...... <br /> further agrees Io remove same upon notice from Ihe City and to replace all ������ <br /> public property damaged thereby. <br /> /���.. ...�u.� i..,l �'rA O/j/7 - � �.�Yr <br /> SignalUc ol Appliconl <br /> � '' • � <br /> %�. - � <br /> Address <br /> �1�-�- .� �s z� <br /> � ielephone Number <br /> ✓ — �� Dafe <br /> �-'�� � �� ��' ��7• <br /> inspecloi s Signalure $ <br /> � � Fce <br /> 7 j �� � C <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks Enginccrs - �-� <br /> Water - "-'c . �,i 5 ' ,�ti//r;�r - _ <br /> , �` <br /> Slreet G� �L/-'r'"'�. � `�.,. <br /> i <br /> Communicalion•- •"-�' <br /> i, <br /> Tra{fic---' ^ —_- - . -.-- <br />
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