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6221 BLUFF PL 2016-01-01 MF Import
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6221 BLUFF PL 2016-01-01 MF Import
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Last modified
1/30/2017 7:26:52 AM
Creation date
1/30/2017 7:26:03 AM
Metadata
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Template:
Address Document
Street Name
BLUFF PL
Street Number
6221
Imported From Microfiche
Yes
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; ` Permit No. _ _ _ � everett <br />( <br />` APPLICATION FOR DRIVEWAY PERMIT <br />� <br /> CITY ENGINEERS D�ear' <br /> EVERETT, WASH. pro�ed By <br /> �� 4�z�'_2� t l� <br /> `C; � ' `- ���� L. C r-' ' Date Approved <br /> The Undersigned — <br /> Hereby applies for permission to �� � �S,'43 -'�`- ��-� <br /> � _ � �^. ;,� <br /> At the following location ' <br /> SKETCH <br /> IWork to be donel <br /> ,� <br /> 'v, <br /> The undersigned owner hereby agrees fo hold ond save harmless the City of Voiionce ReGuired <br /> Evere�l from any and all daims for damages thot may arise because of the Yes . .. . ._._.. <br /> installation and mainfenance of ihe improvemenf hereto applied for and No . _ . . <br /> further agrees to remove same upon notice from the City and to replace all <br /> p�b�ic property damaged thereby. � <br /> . Signafwe of r�pplimnl <br /> Address <br /> ielephone Number <br /> � Date <br /> --� <br /> -y-o- '� �ti.-�tB��-y <br /> Inspec�gnWure '' E — <br /> 0 <br /> Fee <br /> �-� �� � � ----- <br /> Dal6 <br /> . DEPT. APPRO/VA�LS <br /> —_ __--_ _' _— n.� �/ "-_� . <br /> Remvrks Engineers- `.tT" <br /> W ater��• -- <br /> Stteet -- <br /> Ce,.�.......,f�nKo�<- _- _. .. _ _. . <br />
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