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4405 FOREST DR 2016-01-01 MF Import
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4405 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 9:47:03 AM
Creation date
2/11/2017 9:46:58 AM
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Template:
Address Document
Street Name
FOREST DR
Street Number
4405
Imported From Microfiche
Yes
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Peimit No.�./.� �� i� <br /> �� �verett <br /> ��; <br /> _; <br /> APPLICATION FOR DRI"VEWAY PERMiT <br /> CITY ENGINEERS �.(. ti � • <br /> ��b <br /> EVERETT, WASH. A oved By <br /> � �,ei.0 rl_.l. 1 �''l(o l <br /> The Undersigned �'/ '/���� ��''�� _ �Date Approved <br /> i <br /> Hereby applies for permission to ��<' �y'� --� '�� � � - �� <br /> ! . <br /> At the following location -� �� '`" � � - ���'t'� - ����"� <br /> _ � �'-- �'(��siy'ir f-.,.� e :; �... �h� <br /> SKETCH --- -____ ._._.. ,.._.� . <br /> lWork to be donel I <br /> +- W <br /> ' i <br /> I � ��, <br /> I I �� d <br /> �� <br /> io' A-s -r. uRivK.= <br /> � <br /> � — - - - - <br /> I � � <br /> � lo' p=�.;�, oRivc= <br /> � � I <br /> The undersigned owner hereby agrees to ho�d and save harmless the City of Variance Required <br /> Everett from any and all daims for damages thal may arise because of the Yes......................_.... <br /> installalion and maintenance of Ihe improvement herefo applicd for and <br /> further agrees to remove same upon nolice from the City and la replace all No......._. .._............ <br /> public properly damaged ihereby. <br /> i/_�l. '/ � ' <br /> � <br /> / ,' <br /> ' '_���. � ��_� 7"�i )��( 1 r! l')�� <br /> - � Signafure of Applimnf <br /> . _ __ i <br /> � ' ` � �%�� �1 ( � �n4/(',� �' I , <br /> Addre"si �./� ��� ��Ll <br /> ��� ,-c,. � �" �� ' <br /> �j Telephone Number <br /> �� <br /> �1 <br />
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