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9911 4TH AVE W 2016-01-01 MF Import
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9911 4TH AVE W 2016-01-01 MF Import
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Last modified
5/18/2017 10:46:14 AM
Creation date
3/7/2017 11:44:26 PM
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Address Document
Street Name
4TH AVE W
Street Number
9911
Imported From Microfiche
Yes
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'J � 7 <br />- � � .% <br />Permit No. :..s _ --- -. ._ <br />APPLICATION FOR DRIVEWAY PERIv11T <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned J <br />everett <br />��P�o��d oy <br />Dale Approved <br />///- i � <br />Hereby ap ies for pennission to �� /C L//"��l�,-���.-�r7}�/1 (� rj9�.� !C rt'✓ !'�Da � N�-- � <br />U`J � � _ /a''ll''�. � <br />At the following lomtion C �� �� �T��/<"-/p!/`" <br />..,.-_.._......_.... �, ... �_. ..._ . . ..... . _..., <br />SKETCH <br />IWork to be donel <br />.�I � <br />� <br />E MA NDE/� <br />RO�I G <br />� <br />- - - --- --=r --- —�✓ �'�Rnw�.et. o�ru�� <br />------- --_ .__. . . __ . -�------�- -----�------� <br />_ 8' SFwBR P�pt _ __r <br />-- — - — ---- -- <br />�ior ra �E �n/ LiNE 'I�.STiL� uNDEfzNE�L�j�-1 <br />� , �w �T"zI—YV4T�R- S��P�li�E.l� � <br />4 Y <br />� � S�vd%� <br />� <br />� <br />�� <br />v <br />0 <br />' �..� <br />� � `_� f <br />�� � <br />The undersigned owncr hereby agrces lo hold and save harmless Ihc Cify of <br />Everell from any and all claims lor damages that moy arise because of Ihe <br />insfallolion ond moinlenonce ol ihe improvemcnf hcreto applicd for ond <br />further ayrees ro remove same upon notice lrom the City and to replace all <br />pu6lic pmperty damaged Ihcrr.by. <br />�T", bE'i�T. (��.�.c��� s s. � ��,.,�.�'�R i`,r4-1 L3,'t' �1 � t•.., rJ 1-' 1'rc� <br />T-'-.C:�. 1__k.w.iC� �+-� '7—til�. �: A,.,•-,y�° �; :-,u4! �'�' �tM4nit?8�i, <br />�'�.wwt-�+,.�� 5 At�Dc�55 �� �(c�` t.t.o�r1� �-e `j'Ml� <br />�'' �•�-k Q. �. L. 6) a'r,. {a.�. 1�1� ,�.� l 6.. 1� C �? U lS �"` '4i1� 1 <br />) <br />Sl-1 `�4� �. i � i a�,.� Cl O�.S�1 ^�q.-.� _ I�.c�. �Lc��M t 5 J �a�..a... e1��� ,.. ' <br />�� <br />t � / <br />, / � �tl.� - <br />Inspedor's Signakre <br />Dole <br />, <br />__—_' / 'L __ <br />�^ -i " i 3 <br />� <br />! i ! ' i— <br />i�=� < - �, <br />Variance Required <br />Ycs <br />No <br />j�'U. ., � Signalure ol Applicanf — <br />• `, ' _____� <br />AdJress <br />�.].� �- � .: ,- .. <br />Tclephone Number <br />Dalc <br />5 <br />Fee <br />DEPT. APPROVALS <br />, Enginccrs � <br />.�/, �Nalcr_ �v � ��--�- <br />__ � Slrcrt __ _ <br />
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