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1025 ROCKEFELLER AVE 2016-01-01 MF Import
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1025 ROCKEFELLER AVE 2016-01-01 MF Import
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Last modified
2/27/2017 10:07:46 AM
Creation date
2/27/2017 10:07:40 AM
Metadata
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Template:
Address Document
Street Name
ROCKEFELLER AVE
Street Number
1025
Imported From Microfiche
Yes
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Permit No. �.�.�.�....... CVEI'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> , <br /> .. ' . , <br /> CITY ENGINEERS "' . ��`/�/� <br /> , . r- <br /> EVEREIT, WASH. Approved ey <br /> ' .��P�E.�/.C��.F' �lJ�/�r'7/ <br /> The Undersigned � �'�' V�1 S E�/ Date Appro'ved <br /> Hereby applies for pernir.ion to �' O,V ST A /� � D�l� <br /> At the following Ic, �tion_J" �5- RD KC FFLI- F 1Z AVF — <br /> SKETCH <br /> IWork to be donel <br /> � <br /> 1 <br /> i <br /> I'�- 4D�� I <br /> � �o zs I <br /> � <br /> l � <br /> I I - -..---- <br /> ' � <br /> - �... ,�,, ------ <br /> R O C � E � LL LE: R � v �_. , <br /> -- ---�- ---- - ---- I <br /> The undersigned owner hereby agrees lo hold and save harmless fhe City of Variance Required <br /> Even�M from any and all daims for damages Ihat may arise because of the Yes ._._.__._.. .._.._. <br /> installalion and maintenance of the improvement hereto opplied for and No . .._.. ... <br /> furthcr agrees to remove same upon nolice from the Cily and to replace all � � �� <br /> public property damaged thereby. <br /> l. .. . . �. . ,�i �. <br /> 31,�}' Signafuie oFJAppNconl <br /> ifit':1 <br /> � ^ . <br /> .. .� .� �U ��_�;[/� /%�,:/: <br /> A dress <br /> � , ., _ ��- ;�%� <br /> ielephone Number <br /> Dafe <br /> Inspedor's Si�nafure 5 C�' ��1�LlJ«� __ <br /> Fee <br /> SiTr_' �'.vc�-,c'C�) 9/.£.'Di i�i <br /> Dale <br /> J /'• DEPT. APPROVALS <br /> r/9Ji'�i� C.�C7/�'�JL!_; T�l� f���/'��i\� /l., /�/- "�C.��t� /--)._ —'/.'I-l.�f��i�"/� /7i <br /> Remarics Engineersr . <br /> Waler �' , �. - <br /> ..__... .__,_._....._._.�._ . <br /> __ Strcet <br /> — � —� niwtior�; -- <br />
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