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415 LEGION DR 2016-01-01 MF Import
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415 LEGION DR 2016-01-01 MF Import
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Last modified
5/11/2017 8:24:45 AM
Creation date
2/19/2017 1:47:59 PM
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Template:
Address Document
Street Name
LEGION DR
Street Number
415
Imported From Microfiche
Yes
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Permit No. .� _/.L �._-_-. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPUCATION FOR DRIVEV��AY PERM6T <br />( �- .='sl �?� i P/� ;'. .. �; r�� l <br />L� ' l �-� <br />. <br />Hereby applies for permission to l'a NST. A l� ��It� <br />At the following location �1/5- L F �� n N DP1 v E <br />everett <br />� <br />�, ,.% <br />/� <br />-�— Approved By <br />�i/�=�Llf-? . ..P �(r� /�!'%� <br />Dale Approved <br />Thc undersigned owner hereby agrees lo hold and save hormless the City of <br />Evc�ett irom any and all daims ior damogcs Ihat may arise because af Ihc <br />inslallation and mainlenorce o( the improvemenl hereto opplicd for and <br />further agrees to remove same upon nolice from the City and to reploce all <br />public property damaged thereby. <br />Inspedor's Signafure <br />�.�1%.'- L..�"!':Kr./� ���-�%-_ <br />Dcic <br />� <br />1 R ;�� t <br />� <br />Variancc Required <br />Ycs .. <br />No <br />'; � <br />i�� Signalurc o( Applicanf <br />. � � . . � i' 7 , <br />Address .;�� „ <br />i : ,' =-� <br />ielephone Number <br />�. <br />r �� i, .','.�r . <br />�� <br />r�� <br />DEP7. APPROVhLS <br />[nqinecrs � ���-� -��� '.%� i��J�/%/ <br />Watcr _'- �-' �i � l "!_ �—�I l <br />Sliecf_ —._'_ ___ . '_ <br />
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