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5021 OCEAN AVE 2016-01-01 MF Import
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5021 OCEAN AVE 2016-01-01 MF Import
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Last modified
5/8/2017 2:24:49 PM
Creation date
2/25/2017 2:17:36 AM
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Template:
Address Document
Street Name
OCEAN AVE
Street Number
5021
Imported From Microfiche
Yes
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r� I <br />7 � � - l I <br />Permif No. . . .. - .............. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CIlY ENGINEERS <br />EVERETT, WASH. <br />everett <br />��-�� ���' <br />' � Approved By <br />/Jj /!/rTl�/"/L:��' �i�S ��//� <br />The Undersigned ��"`� / C � `F/`� /��/` f+ �/ _ Dale Approved � <br />�7 i �� <br />Hereby applies for permiss:o,i fo �Q�'i✓�> %f �— ��� :� /"� `Xv G N ��U �" j" ��'` �v��� � <br />Af the following location 50 L� � G��� A��, <br />SKETCH <br />IWork to be donel <br />z <br />� <br />� <br />U <br />O <br />,� �, „ - <br />r_r���.,.,=.-�; 1-`�<:� D�_�;��rv,y�.-� <br />The undcisigned owner hereby agrees lo hold and sovc harmless Ihc Cily of <br />Everett (�om any and all claims for domages �hat may arise becau:e of the <br />inslallation and maintenancc oi thc improvement hereto applied for and <br />further agrees to �emove same upon notice from the Cily and fo replace all <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f.---- 2°� ---�1 <br />I" LIP <br />30�.1. � J'f �-- .1--�I <br />I <br />Co�"� ���� � --� , �' -� >> <br />InspeUor's Signafure <br />// <br />/ <br />.�%%L C�.�/C<.'-.2/_'�.� �H�7�-- <br />Dale <br />Remarks <br />Variance Required <br />Yes...._._. _. ...._. <br />No._...... ...... <br />Aoaress <br />����`� ��ln �,'_,_ <br />ielephone Number <br />, <br />� �.4fl / �' �� /L��� <br />�� Dale �/_ 2.� - 7,_- <br />s /o, Oc� �.L�� ;�.-�E. <br />�{'i-��•i' 11 ., –� ti �> <br />EnginecrS"-_ <br />Watr.r �_-1. . <br />S�reet ��`�. <br />fPE <br />, <br />' �� � . i l l ,� � �'�, . � / i <br />DEP7. <br />: .'� _ �, <br />� <br />m <br />` <br />
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