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2530 LOMBARD AVE 2016-01-01 MF Import
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2530 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 6:36:05 PM
Creation date
2/17/2017 6:35:38 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
2530
Imported From Microfiche
Yes
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__, . , ; <br /> PermitNo. ..�'.�. ::...:....... -�-- - �VeCe� <br /> APPLICATION FOR rRIVEWAY PERMIT <br /> CITY ENGINEERS �--���D�� <br /> EVERETT, WASH. --� Approved By <br /> ��"TO/���•��n� /ll`%i:� <br /> The Undersigned_F'-�t:3i�'.'T' _ _$u'►'��f�'F I �(._� Dare Appro�ed <br /> Hereby applies for permission to � V. )STA 1_C. 'Tl.=.� ` ` ' ,c"' � �.: , . ,'�� , , '-, , � <br /> � <br /> At fhe following location � y�' `' " �',—�� � rj ��T <br /> i <br /> SKETCH ( I <br /> IWork to be done) I <br /> i <br /> � I <br /> i <br /> ,� � i <br /> � -`�"�' <br /> 1 b) <br /> } I 1 <br /> ��J � '�. <br /> J �J <br /> �T <br /> � — �— —� C`�•' <br /> � � �� �'� ZGT~ �r, - ;,P <br /> � <br /> , - . . .,,. . , <br /> - - ' -i J � <br /> , __ T-____ <br /> � J A'P, AGGR. �ONC , <br /> �LAN-��U <br /> __ ___�_ r �---- ---___�� <br /> - ----�_-�-._-__ -� <br /> _. _--- - <br /> — REP�IDVE �;Y/.',i iiv(� L>/i t• �;�J<7 <br /> 2 ro-r}' .S7a � RcFxAce Cui«;�GurrE,�; ;;` s�N <br /> The undersigned ownen c�reby agrees to hold and save harmless Ihe Cily oF Variance Required <br /> Evcrett irom any and all daims ior damages thal may arise 6ecause o( the Yes.....__....._.__ _ ... <br /> installclion and mainlenancc of the improvement hereto applicd for and No....._...._..._ .. <br /> furlher agrees to remove same upon noiice from the Cily and to replace all � -��--�� <br /> public property damaged ihereby. 1 �� �.l�I 1 <br /> .,7 � — �(7 l��U <br /> ` ���. <br /> '� DRIVEVJAY SECTION ,,,s''��' ' ii��!�%J'��a-(sFt.��% <br /> • � NO SCALE .<""f Signalure of Applic� t <br /> ��� �� ��� G /�-Ias-��-f-s� �.�- 1�� � "� <br /> ��� U — I�ddress <br /> � 11'I <br /> 30" 30 7 S ?- /�SC <br /> ,i� �-.,, ielephone Number <br /> ,� �'�_: ; ia- �>> -� <br /> \'��\ 5-�'1'l) ., ,, ' ;. �are <br /> V �`.__ i� �C:v-\� '�- l, ` �,�� ��,i �, / <br /> Inspedor's Signalure 5 y� �� � <br /> fce <br /> " _ /i!'< �/�.C''? /Q '_/[.•���� <br /> . � <br /> Uale <br />
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