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6508 LOMBARD AVE 2016-01-01 MF Import
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6508 LOMBARD AVE 2016-01-01 MF Import
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Last modified
5/12/2017 10:54:27 AM
Creation date
2/17/2017 8:58:27 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
6508
Imported From Microfiche
Yes
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,- � <br />.%! .'' ! <br />Permit No. -�_''..---.----'-_�� — <br />APPLICAi'iON FOR DP.IVEV�AY PERMIT <br />evere�t <br />CITY ENGINEERS � �� � � <br />EVERETT, WASH. � ' Approved By <br />�p - ( 7- � 3 <br />` �-; '• . . ' - Dc�� Approved <br />The Undersignad_ � �"• )'= � -�-. � � `=— <br />� <br />Hereby applies for permission to �—'> h 1� i ��' �= . � S I n)!,�1 C; COM1/C� �7Q 1\`F' I,' / r�_ � F <br />At the following location �`' � �� `�� �-- � � �-f3�-ii --__ <br />SKETCH <br />IWork to be donel <br />/� , <br />_L�� � <br />f--1--- -------- <br />�- ���e--� <br />o � PAv -r <br />L � P-1 Bf���- C� �}//�" . <br />The undersigned owner hereby agrees to hold and save harm�ess the Cily of <br />Everetl from any end all claims for domages Ihut may arise hecause of Ihe <br />in;tal!ation and maintenance ol the improvement herelo applied (or and <br />(urther agrees to remove same upon notice from the Giy and to replace a�l <br />public property damaged thereby. <br />DR�VEWAY SECTION <br />NO SCA�E <br />h•-- 15' -^� <br />r�_ � I" LIP <br />30'�—� _ � _ 30" <br />�r�"ZC) -7 <br />si �r_ � r�Ec,�r=n �-.�8-73 <br />Date <br />b,/t3 i'C�. t� ; 1 /�� !�. <br />Variancc R�quired <br />Yes__.._....._._ __..._. <br />No..........._.._... _..... <br />�:�.�<S _ - <br />� � � �. �_� _ <br />Signalure of ApplicaN` <br />;�' .;, ,_�, �" <br />Address <br />� '" 1 <br />Telephone Number <br />Dafe <br />,.,, <br />, S - '' � % ��r,�" f�ii" � — � , <br />�� <br />� �, -:.�_.,. .�.i��ti�.z ; <br />• � -- - � � - Fee <br />. DFPT.' A)PPROVALSj' <br />'� ll � l /'L1yc�(— ���.; �/' �' <br />Enginccrs . � � � "'� ��'' ',� � . <br />�Valr.r__�-" — �� � �' <br />$Ireet —= . /�-' �Y_ .c �� <br />
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