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1343 MADRONA AVE 2016-01-01 MF Import
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1343 MADRONA AVE 2016-01-01 MF Import
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Last modified
4/11/2017 3:05:42 AM
Creation date
2/17/2017 10:52:03 PM
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Template:
Address Document
Street Name
MADRONA AVE
Street Number
1343
Imported From Microfiche
Yes
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: ' /^ <br />Permit No..-✓�-.�� %� '�� <br />A{�PLICATION FOR DRI`✓EWAY �ERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />� �!, , <br />The Under;igned_,l'��� •i1�=/ <br />everett <br />, 1'�'��'��.;,` - <br />� Appreved By <br />.- f[/N� _ � /� %/ _ <br />Dale Approved <br />//1� � . �� , L , ,� �,. _ - <br />Hereby applies for pe;mission to, ' ' '�"�'� ' �'�� ' � <br />�4 Ni� �/i � / 7� G� � �1-° �� - � `l <br />� i� <br />At the following bcation � � � ���i �;�� �� �,�' � �'� — � �� �" <br />SKETCH <br />IWork to be <br />� ' <br />' ;,� a <br />„� , �, <br />�1-1,,,j <br />1?`��_� - <br />3 <br />�j <br />/NS1i�'L �/'.t:%�"%, U<'.,!'�u�'3�� <br />:qNO �1, /!E (�[l��v' �.,, <br />��...,%'� �v<"� <br />✓ �R�' (�Y'--��^— <br />_.�GL _ �; <br />' _ _ -`'_. _ <br />� — <br />�. — <br />The under:igned owner hereby agre�s to hold and savc harmles: the City of <br />Everett {rom any and all claims for damages Ihot may arise because of the <br />instollalioa and maintenance of thc improvement hereto app`ied for and <br />further agrees to remove same upon nolice from the Cily and to replace all <br />public property damaged thereby. <br />Inspedor's Signalure <br />_� <br />� 5 /Tr G / �.�= c'�-.i .1 ' � /."/ �7/ <br />Dafe <br />' �T ;'� � } <br />Variance Required <br />Yes_..... ....... _...... _... <br />No____._...._........... <br />i <br />/� ,r <br />/ ( I' � ' u:�i.� �1.�.. <br />Signafure of Applicanl <br />!.:'.�'!' � /'�l •-: GI �.� t:i ls Lt „j Li� <br />Address <br />,� Jr ;� ' % 7 � / C,(J <br />Telephone Number <br />.5�� � / �� <br />Dafc <br />5 S�. G% � �-<;! <br />Fcc <br />DEPT. AQPROVALS <br />� %., / - . / <br />Engincc�s'� ;' - <br />�C_LE. / � � . l/Zi /T/ <br />Wate�-" 1.�''.[c�.:.�, =� 4..7/ <br />$trr.el_ � � y. _ _'--_'__`__�,— <br />
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