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3416 BROADWAY 2016-01-01 MF Import
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3416 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 5:42:01 AM
Creation date
1/24/2017 5:40:56 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3416
Imported From Microfiche
Yes
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� <br />� <br /> i . • . <br /> :IG.� i.•i_i;i:Ti' /.i'i:,7_Ci�"i':_✓:: . <br /> � S�JF:ISIT }i'VIUI:NCE TII/�'P FQUIPI•fiiPlT � <br /> CG':PLIES I•;I'i'ti iiiL•' ST7:17DARUS OY • • ' <br /> h27 ].PPRUVi3U TES'PING LnCOFtA7'O12Y. <br /> 217SPECTI01: OT' SIGIa BEQUIREll <br /> Lb'FO)tIs' 1:P,}:CTl:OIJ. . . <br /> C7.LL 259-87h5 FGR INSPr•CTiON. ' <br /> � [ � 7" <br /> . Application Da�c .>' <br /> �Dnt�ss ��L���� ��/I Y .: .. <br /> TLe undersi.gned otirner her.eby agrees to hold and save har.mless Cl�c� <br /> Ca.i:y of Everett fr.um any and all clair�s for. damagcs that may ari�c <br /> Uccause of: i.ns�allati.on of the i.mprove;aent hereta applicd for, a»d <br /> further aqrces to r.emove same upon notice f.ro;n the City and to rc- <br /> place all� puUJ.ic property dat�aged L-here)�y. . <br /> , ' • . � VTiLUF: , �(�/ 'l�• `=� . , <br /> i <br /> ' � . . - . . CIRCUITS: � <br /> � \ . .. FrL: . ��� L c� . . <br /> �:. . - <br /> � ' . . • ...,. ' � TLEC.RIC�1L: �� �^ v� ' <br /> - ' : . TOTAL•1 L•'ES: ( U t, v <br /> I <br /> --- —,----� , ' . � • �• ' . . . � • � <br /> � �. /j . � , .. . �. ';} � <br /> i / . J �.f � � I <br /> — . � • - — , ' � tT . i <br /> - r � �-u;g � <br /> . � � � i, � �1��- <br /> ' . , � . . ' ..�.' �y�7� ,< <br /> �i , . . 6— �: i <br /> � • �8' � . . <br /> � � _ , <br /> ,,, . • . <br /> � . . <br /> ;. � . ' � . <br /> ., . . <br /> . . . <br /> � Signed ,��/G�'y��.S6c'C��es �� ��.j�� Owner <br /> ��� contr��Lo� _��:�•��' �,y«s�- 3s"3 -- �,.aon . <br /> ,��� � <br /> �.� J,����,�� No. 2a� - o z - s z4s Po <br /> . � ._ . . <br /> � <br /> � - <br />
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