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4809 EVERGREEN WAY 2016-01-01 MF Import
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4809 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/9/2017 4:28:25 PM
Creation date
2/9/2017 4:27:45 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
4809
Imported From Microfiche
Yes
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_SIGN PBRMIT APPLICATION <br /> SUENIT EVIDErCE THAT EQUIPMEIvT <br /> CO�IPLIES .L7ITtl TtIE STANDAnDS OF ' <br /> AN APPRO�'ED 7'ESTING LASOR.ITORY <br /> INSPE�T_ON OF SIGPT REQUIRED • . <br /> BEFORE L•RECT_ION. . ' ' . . <br /> � CALL 259-5745 FOR INSPECTION. . — / ` �� <br /> APPLICATIO ' DATE <br /> ADDP.LSS �C <br /> � �J� zee� G��� <br /> ' The undersi�ned owner• hereby agrees to hold and save harmless the <br /> City of Everett from any and all clair�s for dama�es that may arise' <br /> � because of installation of the imp:ovement t�creto applied for, and <br /> . . � further agrees to rec�ove same upon notice from the C'ity to and to re- <br /> place all puUlic property damaged thereby. , �r �� <br /> � VALUE: �� d�� <br /> CIRCUITS: �'� <br /> � �j <br /> , FEE: — . <br /> • i ��- . <br /> , �� � <br /> . EI.ECf RICAL: — <br /> . ' JV� <br /> TOTAL FEES: �/ � — � <br /> � ' . <br /> � <br /> � • . <br /> � <br /> � <br /> �� /� . �+ <br /> • )' � �ou� S%1t d2c � 041NEF , <br /> � SIGNED � , <br /> �r � ' �� � <br /> �� corr�Rncror. -P��r�,�' �' �• • <br /> �i� Licer;se c:o. � //� a G' � ' ' <br /> �� ^ <br />
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