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2433 W MUKILTEO BLVD 2016-01-01 MF Import
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2433 W MUKILTEO BLVD 2016-01-01 MF Import
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Last modified
4/28/2017 8:17:50 AM
Creation date
2/26/2017 4:06:23 AM
Metadata
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Template:
Address Document
Street Name
W MUKILTEO BLVD
Street Number
2433
Imported From Microfiche
Yes
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At the following location a'�3� ������ l/���� _ <br />1�ARL/NGT�N} __ - <br />cKFTrH <br />4 <br />� <br />� <br />L� <br />JRIVEWAY SECTION <br />NO SCALE <br />`�i...� - <br />�• - --- �r <br />N� SCAL E <br />The undersig�ed owner herehy agrees to hold and <br />save harmiess the City of Everett from any and all <br />claims for damages that rtiay arise because of installa- <br />... tion and maintenance ot the improvement hereto <br />� �: .t _�. applied tor and turther agrees to remove same upon <br />notice from thr Ciry and to replace public properry <br />dam� d thcreby.�J � � <br />� � f.v- / aOr+ <br />— — � �J�� Sig�of Applicant <br />��� I y7 � �>/.. � �%�n /l �i.i� <br />COPY OF THIS APPLICATION TO \ f'� / Address <br />BE P(15TED ON JOBSITE. � � 5 S� 5%�r' ? _ <br />_`'^ � Telephone Number <br />CAI.L ENGIN[ENWG DEPT.259�£811 �. ��V �/,.� /% /'J7 i <br />�-- , <br />i <br />� '4 II�)URS 6EFORE CONSTRUCTION �I„ ;.� ���u : Date' �O FL� <br />�CfA C <br />CHECK LIST 5� /� / �,[� FL <br />u,_.... v.,i„e �' B4 .�v�(/C c. WY: //f N Rq91f�+sl�� <br />Ora <br />'�n Gn cag � (� y'd"e cuqT <br />�»r�.� Jr,r /� �� <br />l.�f'l7 <br />�- � -------r; <br />i <br />i / /�.� <br />� �� ,/ r <br />Inspr.ctor's Signature <br />' ' <br />( ` , i <br />-1Sate <br />Remarks <br />Note: Original to Customer <br />, ��PY ��; ��� 1 � 2 F 6 <br />� ,'lopy to �nspcetor <br />sc iri� <br />� <br />S� <br />%' 1 <br />Nh��: �i:•�e �cJr�.� : �1�,��- �_'.� <br />c%�re.�r / � , �- 7 " �-,1S <br />' / ,�j U <br />� c� <br />� � �� <br />APG Y L �v'I)GtG• L�-.l�. f7 !%�r" �J <br />`�ate Ap roved `� <br />
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