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5102 ELM ST 2016-01-01 MF Import
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5102 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:41:39 AM
Creation date
2/12/2017 7:41:32 AM
Metadata
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Template:
Address Document
Street Name
ELM ST
Street Number
5102
Imported From Microfiche
Yes
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�. , , <br /> , <br /> � .,_ ; �� <br /> Permit No. .:--_ :--...'.-.-.`--:.--- ' i �! evereri <br /> � <br /> � <br /> � o, ! <br /> APPLICATIUN FOR DRIVEWAY PERMIT � - <br /> � -----__..__ _.. _ ___. <br /> ; � <br /> � I� � I <br /> CITY ENGINEERS � ' <br /> EVERETT, WASH. , , � <br /> � Approved By <br /> / /� I � <br /> The Undersigned �� ��� G. . C� l�%��.:�F✓ : ( Daie Approved <br /> j ( I <br /> Hereby applies for permission to -ST/�ND/-�f''i) /�//t�� %V /TJ� � ��_:/J��/ � <br /> i i <br /> ' i <br /> - . i <br /> At the following location_��� �1 " �L-- � � �T�' 'r���' � <br /> _ -- -- -- .�'-�^--�--- — � I-- --- a <br /> SKETCH <br /> (Work to he donel 40'fi�ior�Jti4 _:__. _ l�7 � � i <br /> � 2f <br /> � � �5 5 / ST S EE ,T c� . �" - ,�A� <br /> STANDA�✓ C°:'��"� S�ti'" <br /> _ ._ _ _ _ ^_�.___- 1151 Y <br /> C` \ y <br /> - r.--� <br /> ��c-c <br /> S• � <br /> i <br /> - 5'rAN A`D ��;,_',��' s��y <br /> :c �9Lt_ i'_ ¢D" � 1 <br /> 1 <br /> 0 0 o I W � <br /> h �� � � �� � � ► <br /> —�-I•sF—�--�'-----�..� � ! � � -y <br /> a� �.,'. � � � � . .. I � � � <br /> e \ '��\' � <br /> sECT/U,N VIEW � ,� <br /> .�' <br /> `�°� --..e x�' <br /> � �' Rr- oa _wny —.( <br /> I <br /> I <br /> Thc undersigned ownen c�reby agrces to hold and save harmless the Cily oF �I � ) Variance Required <br /> Everell from any and all claims for damages thol may arise because of the � � Q �V Yes....._..._....._....... <br /> installalion and maintenance of the improvemenl � �.eto applied for and - 1 �`, ' <br /> (urlher agrees b remove same upon notice from ihe �ity and to replace all ��'QJ" � n j� No_._.. .............__.. <br /> publit property damoged thcreby. � �J � <br /> P `'��q*�� '��/ G�' ���a <br /> ��' � � � - <br /> ��� �P ,✓� �;�_ � Il'�;�:, .���� � <br /> /����� �� /�� � L�.P � d.a�. _ <br /> i'" Signalure oi Applic <br /> lr(i <br /> �� (�,h r,',y,,s' <br /> n�/' ..,� �� �? _,,,,.,7-t ,�. <br /> � �^ Aad,�,t <br /> �l <br /> �� .�` � l-��"�_ <br /> � — <br /> Tclephonc Numbcr <br /> Date <br />
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