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5612 EVERGREEN WAY 2018-01-02 MF Import
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5612 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
1/29/2020 10:49:30 AM
Creation date
2/9/2017 8:51:54 PM
Metadata
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
5612
Imported From Microfiche
Yes
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, . _ . . . _ <br /> '� <br /> � <br /> , . • �'S/o � <br /> ' //�7� 6 ' <br /> Date �� � �� <br /> APPISCATION for sl�i1J 1NSTj�[.C�yT/unJ t�r� T✓ ��T <br /> 5(v•G- EdF�2r�/l�r..i v�i+"/ — Fa�u2crT <br /> The undersigned owner hereby agrees to hold and save harmless tfie-City <br /> of Everett from any and all claims for damages that ma,y arise because�of'" <br /> inatallation of the improveaent hereto applied for� and flirther agiees �o <br /> remove same upon notice from the City ard to replace all public property <br /> drimaged thereby. <br /> �C Gc d.v �•2i ✓H-r� I�.2c�/���`7 <br /> /�Xj ,����,1�.�-�-a.f' <br /> J��'Qnt � T Fd�2 '�r(E rn/STN�c�y7if-J (f.nJ Slr•t.'S <br /> Qitl �X� 57rnJ�� J�✓/Li71n.�� FtLd..vT <br /> �/� �`/�s � - � °� <br /> �� rri n,_ ,— _ <br /> Signed �_ i�(i��Y�/7.l�_�c,-��� Owner <br /> � �ontractor <br /> ;��� � � �.�:.� �,� �� <br /> ��/. � <br /> �_� <br /> ,. <br /> ok:� ���e�, <br />
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