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6928 EVERGREEN WAY 2018-01-02 MF Import
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6928 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
2/7/2020 3:21:22 PM
Creation date
2/9/2017 11:10:12 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
6928
Imported From Microfiche
Yes
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,� �.� �� <br />Permif No.....-:.: <br />................... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />At the follow;ng <br />SKETCH <br />IWork to be donel <br />APPLICATION FOR DRIVEWAY PERMIT <br />_4' <br />69z <br />-=--_� <br />�-� � <br />_ <br />� <br />Y <br />l <br />i aQ , <br />f , ', <br />�f�_ _�-- -��i.� <br />� � — <br />Ex,- _ _ J j f <br />1�'I�l<� %M� fl. U <br />1� � t -� � �, � <br />Cc�cy,��J i <br />� <br />C �' C', l, <br />v � i� r� � <br />The undersigned owner hereby agrces lo hold and sove harmless thc Ci1y o( <br />Everelt irom any and all cloims for damages thaf may arise 6ecause of the (', L <br />installation and maintenance o( thc improvement hereto npplird for and � <br />(urlher agrees lo remove same upon notice from ihe Cily and to replace all <br />public prope�ty damaged thcreby. <br />Inspecfor's Signolure <br />pRlYEc+g�-'y, .. �.�� <br />��� _ ��:'= BCACE _ <br />) __ <br />.- / <br />S <br />everett <br />, � <br />:� j <br />�'`�2. <br />�� <br />Approved By <br />/�rr3RI A �'� /� /91, <br />Dale Approved <br />c <br />`—� <br />� "y o u' <br />�"'I <br />�,�--`�"`; � � -- -_._ so" <br />��_ � <br />_",--;�-----...._ <br />-a..r� <br />s!J y <br />� <br />Variance Required <br />Ycs _ <br />No.__. _..._...___.. <br />/ / �f J / l ' <br />� , t'-"!.,' / // %fr'' - � . <br />Signa'lure of Applicanf <br />.� o. 9scS-' <br />ndd,e,: <br />aS9- 9�":,i: <br />Telephone Number <br />� — � �/ ' %� <br />Dale ' � � �' <br />_:.- ,' �i7_ ._ _e <br />: ��J . ,.-! . <br />, . .,-... <br />
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