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3019 BROADWAY 2016-01-01 MF Import
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3019 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 3:31:46 AM
Creation date
1/24/2017 3:31:27 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3019
Imported From Microfiche
Yes
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� <br /> . L_ <br /> . # �/ a7 <br /> � ii�,.a /6b <br /> Date �/��� � <br /> � <br /> APPLICATION for ���'� �����''`L' _ <br /> �,L.:� {,,• , : . � ' � - <br /> ��_�.. 4'. - :c-�...C/t f-L-l-� �.�i' i tJ <br /> The under3igned owner hereby a�rnea to ho�d and save haimle"sa �Efie"Citg <br /> of Everett from any and all claims for damages that mny ariso becanse�of" <br /> inetallation of the ivaprovenent hereto app�ed for, and ilirtheZ agi�ees-�o <br /> remove sane upon notice from the City and to replace all public property <br /> damaged tl�erebg. <br /> -�' S/ Z7 Gil1��b � <br /> Y i1-�.cz' - t'a";' �—� (c � � <br /> .t.�.� - � r..� / �I .:. �' / l 8 7 _u��a � 6 <br /> �- --� <br /> , , � -- -- � --- <br /> , .. <br /> ir,�'� ' ,�„� <br /> ��_-- 13 - .; % �' �! <br /> : <br /> ��l <br /> � r l.', � elr , i <br /> I �== � �s�-0 � __.---__ _ , <br /> Signed �7i��Gi� C%i � �. /J�_ �i:LL�t�tr- Owner <br /> t •� ` �, . � 1 I; <br /> .'\�..u' _� !r 1 i::F.E-.r�- �i'�.ti�tclu�ac �� lc"`�" '`t' i)ontractor <br /> o k�,Q�a �/�c���- C��m m n e},� �.;�._'�;': _�<' .. �f���-- <br /> Ci /t ;l,.,� �,. ���� �� � <br /> = c � � , . , <br /> �� 0���� ��`��`�"�"`.�:..� <br /> ok.� � �� <br />
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