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1932 BROADWAY 2016-01-01 MF Import
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1932 BROADWAY 2016-01-01 MF Import
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Last modified
4/12/2017 2:39:53 PM
Creation date
1/23/2017 11:40:55 PM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
1932
Imported From Microfiche
Yes
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____ ` , <br /> EVERETT, V✓ASH. ' Appro�ed ey <br /> ��CT��.-!' j'� /�1�7/ <br /> The Undersigned— " � � Dofe Approved _ <br /> Hereby applies for permission to �- ! �-'.�i �^ ld � l- > ' '� � E r � S T Li':,%' � �ELOCqTE E,r/ST/.✓� <br /> v�TRE_F_ T L /GH?' /��LE <br /> At the following Iccation�� ��- � � � �"7 ✓ ��t l-� Y <br /> SKETCH <br /> fWork to be donel � r.�-�- ; L � �NT P��.- C tG ,fli <br /> � <br /> �k, ;", f,, ;.;Wf. i �'IOVED IJ• �i ; •; . IG� <br /> --_ -- — - <br /> �_�,,_ __,---_ __ ---- <br /> - --�- <br /> _�� _ _ ��o`y��` <br /> - - - 1 � , ----- <br /> j I � <br /> � `� l <br /> � <br /> � I P�'S �QQ <br /> h <br /> � � <br /> v � o a �� � � <br /> -� � � � <br /> -_S �-- )— ./ � <br /> �"l/p I <br /> � � � <br /> i ' O � <br /> � � � N <br /> � <br /> The undersigned owne� hereby ogrees lo hold nnd save harmless �he Cify o( I Varionce Required <br /> Everen from any and oll daims for domages �hai moy arise becaose ol the Yes.__ ._ .. . <br /> installotion ond moinlenance of �he improvement herUo applied for and - � � �---�� <br /> further agrces to remove same upon notice from the City and to reploce all Na _. . ......... ._ .. <br /> public property domaged thereby. <br /> �; �, � _ ) <br /> ' i i <br /> ./-�.J/ i [�'`� i'��� � �.T.����, <br /> ' J ` , ' Signvlure ol Applimnl <br /> VJ� J',j- . s.� ,..�,� � 9 'U W-k..�YL. t�.i.... �./2C'/ <br /> 9 ;�:.�,_., �i 3 � ;,�t,�� �`- <br /> 3 3 / '7 AdAfeu <br /> L: .i I '� Jr J .-. <br /> � � �' . � . OC J cM1 ' " / � i <br /> Telephone Number <br /> �{'...�`- 3 v - Tr/ <br /> Dale <br /> Inspedoi s $ignature $ � �� - lAI <br /> — ' �,JLt <br /> .s/T/L �/�'s'�C.C'f:% �/��7/ Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remark� Engincerr ..-�����/'�-!�_l /� L,�/%� <br /> Waror�.an�- 7' /B- %h- 71 _. .— <br /> Streel <br /> Comm��o7��G���. i'��:... . <br /> Tralf ic_ <br /> Planning <br /> ----- —_ __---- L .�1, i i,�i,: , <br /> r�u i ,r;:; uc�i. isy �so3 PrGv�C� rort ` <br /> ?4 Hours before I PROFER DRAINAGE ` r � � � �; „ ,;; �����.;;,��,;i: .r, <br /> cur,struction is started, <br /> I <br />
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