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8624 XAVIER WAY 2016-01-01 MF Import
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8624 XAVIER WAY 2016-01-01 MF Import
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Last modified
4/26/2017 10:58:24 AM
Creation date
3/9/2017 3:52:31 PM
Metadata
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Template:
Address Document
Street Name
XAVIER WAY
Street Number
8624
Imported From Microfiche
Yes
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EVERETT WASH. <br />Approved By <br />�////� /� � �,�.=/.��8�,<-_'c� ��%/ <br />The Undersigned_ f'"1 ��7 l.. DA1� T% CO � t C�� T r7l -i'C r, !-tF. r�J `'o�� Date Approved <br />Hereby applies for oermissi�n to �� � A)=>7 � � Z �/�� <br />At the following lomtion �� z y XA V! F 2 ��t 1 A� <br />SKETCH <br />� <br />The undersigned owner hereby agrees to hold and sove harmless the City af Variancc Required <br />Everett from any and all daims for dama9es �hat moy arise beceuse o( the Yes .. ... <br />..___ .._... <br />inslallotion and maintenance of ihr improvement hcrelo applied far and No <br />{uriher agrees �o iemove same upon nolice Irom �he Ciry ond �o replace all �� ��- �----���� <br />public properly damaged thereby. <br />Inspectoi s Signofure <br />s/Ti_- G�N�Gc'�'i> '=-',!� �i� <br />Dale � <br />'Ji( � <br />„�,� � '.1 � '• l <br />�� � �,� �'cR DRr\IivAI:E � <br />II�_ ----` <br />, P.�(�'i �_ <br />r,�::;�,i ii�"f�TER <br />n . �F.�� I' JF <br />c �'; %':1V41ION <br />r <br />��� ��-.�.-- <br />$i�nolure o1 Applicont <br />_'�l'f � ��- - `� �l ,;� �_ =- <br />add,e,t <br />��'�- 5�,1n, <br />ielephone Number <br />I.u_: :i'n� /:.'- L- 71 <br />Dole <br />00 � e <br />$ l �,�-z��-�-� <br />F �e <br />DEPT. APPROVALS _ <br />�/', /�./ <br />Enginccrs J <br />�(L-�/ '�/-�f /`"i .�.�'� ,�7,, <br />Water � i. o.'i i ... / .. - _ <br />Slrect <br />Communiwlions �%' y� �� <br />Traffic A�� _ "; iY �.�. i �. - <br />Planning ,r �� `� <br />Call ° ' ; -' `;- <br />�Il�lu,:fi0� U2(.L I�.)i-,. <br />2A Ho�rs before <br />constructfon is started, <br />
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