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5030 EVERGREEN WAY 2018-01-01 MF Import
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5030 EVERGREEN WAY 2018-01-01 MF Import
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Last modified
10/11/2018 8:31:54 AM
Creation date
2/9/2017 6:55:04 PM
Metadata
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
5030
Imported From Microfiche
Yes
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- � ; N <br /> . • I <br /> . � I <br /> o��n..,r r„�7r••�•_ 7�.rn,T C�.^�.��rr:�[N�r . .. /� !.,(n �� i � <br /> � � ;'il:-� I'�i-. �ilE;:'�-inpf�c �F � . ' / �. <br /> � � i . .... ���::ii��TL%t.`�i� �_.i„iiJ.l(�rti• . , _, . . � /'/J � <br /> � _ .�; ��i....: �. ur�L - � I <br /> ":_„�r�.n�,.�`- ., �.. . ..: nL . .D <br /> 6�ru�z= E';r::i:{::�. Date.�,��E-F1 /A /4�.? I <br /> cF,�_� ��� ��:�s rci: �:. , _.;,,o��. ----�� • I <br /> . APPLICATIUN fUk r�%�-�/5�-Ql� C�/G �. ����� �� � �v�''�ii ' <br /> The undersigned owner hereby aprees to hold and save harmless the Ci{y <br /> of Everett from any and all elaims for da'm�Yes thit may arise because of <br /> installation of the imorovement hereto appl �ed for� and further agrees to � <br /> i'ertr�ve same upon notice from the City and to replace all public property � <br /> , . Jartuged thereby. , <br /> i <br /> ,�t'E'.yOUr E� �,S'�� S'�6�✓ /ids�.Ric yt-t✓ � <br /> �6cc i! ��1, lSh�yr 5 izc_ S-�� -�3 t r/E /�R�.dTJ � <br /> �; � ` <br /> � � • (��..�..� i <br /> � I � <br /> � � �•�'_ I � <br /> � � �w` � i <br /> V I ` � .� j�(.✓E /J .•t✓.L� E7('/S!� F�.✓ i I <br /> �� � � � � � ��� <br /> S/s.cl� i.�/S%./.tG .PM.L«- <br /> i <br /> � � 'V ..S/.�.rt/YA-R.�� � . <br /> � � , i <br /> � v <br /> �' � c�rY oF ! <br /> �^ � APPROVED E��RETT � <br /> ^� ° FOR BUILDIN� P <br /> I�, g Dare 2�L i/� � �ERMl1; <br /> � I I By�i . <br /> �. <br /> f?�?�.�. «.✓�`_ "- -�- - - - - - — � <br /> � . <br /> � <br /> i <br /> �� I <br /> 1 � ' � <br /> � � �— — - -- - --�' <br /> , -- <br /> • /�c���`�O /.t��-[�/ i <br /> i <br /> �lff�✓ ' �d, �O /�-c� /�lid�F S'O � . I <br /> Signed �r��Q � v y y� Uw�er . ' <br /> ' �/i, l�e.('ti'n�� i��A�'h� � • <br /> ^r'� Contractor <br /> L/:14— /3�S 1 <br /> �iE���r.-,�� T�"�i � � <br /> C/� i�o�!�'-ii..�P..-.. �V..��" =�' .� ' , . <br /> G'!a G!�C C'�/, '.� /" /7 i. . <br /> /2�//7z � <br /> , I <br />
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