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1621 41ST ST 2018-01-02 MF Import
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1621 41ST ST 2018-01-02 MF Import
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Last modified
12/10/2019 9:19:34 AM
Creation date
3/31/2017 12:07:11 PM
Metadata
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Template:
Address Document
Street Name
41ST ST
Street Number
1621
Imported From Microfiche
Yes
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EVERETT, WASH. '`� �� Apa����d ny � <br /> The Undersigned v '' �'� �� l -�t� �"�� �'--r% ^ Dare Approved � <br /> Hereby applies for permissior to �DAIS-TR � �c G � r L�J � G�- ',L`- S r'r' � 1- ('_ '_��`� �./)�'-.j-' <br /> I 2 -- �-I s� <br /> At the following IocationJ� �� + — <br /> � � <br /> SKETCH � r I <br /> (Work to be donel J 2 <br /> � l ��O SLop6 %zro I <br /> p�l � 17-:r i n.,_.o_� (:� �;,:a� a� . � l'� � 7'- I <br /> — ----- -- � � 3 <br /> c <br /> � I <br /> , �' � � � ` �--�`" No ^ <br /> � / � � __�- �-�'/ "" -_`_" <br /> Sc;a'-C <br /> / '� %� ;� � R£MovE EXIST" GUAR.D R�' l— <br /> --_ // <br /> t� <br /> ___— --- . _ . �Dlr� � <br /> ---�_� , �2=4 P��. T <br /> � ��';, --_�'__ <br /> /_ <br /> __ —.._"" ❑ �x�c.r <br /> __-.. - . ___-_—___-____ G. ('� � <br /> I ' / <br /> I�f� <br /> � � �� � <br /> y � ` .� ..�--���.�-�c , � 1 � r �,�,�" �3 � , . <br /> ------ ----------- - � --:.-� ,y-1 . <br /> . , 3 , ,, <br /> ��ir� � �� ��� � <br /> -� ; <br /> The undcrsigned owner hereby ogrees lo hold and save hcrmless thc Cily of Variante Required <br /> Everetl (rom any and ell claims for damages thol may arise because of Ihe Yes____. <br /> __. _.__..._. <br /> installation ond maiNenance of Itic impwvemenf herelo applied for ond <br /> (urfher agrees to remove same upon notice from the City and ro replace all No.. .__.._....__._..... . <br /> public propeity damaged Ihereby. <br /> Di21VEWAY SECTION � / I;c:. . "(�>c�ex.-_� ._;,,.0 f=�y II, <br /> ��� c ; <br /> /�CALE� �%� $ignafure ol;APplicanL�"T"✓.,����=^��; <br /> + ��� LI!% � r%�s� y/.'%",_c i-„�,C v.'Z_ <br /> I �— � _ , Address <br /> � 30" � � 30" � ,_ v<os� r ,i ;..•i+ r.�: 9ffsr¢ <br /> � •T• •�• •� ��.337-J7�ss �2. z<. L -�c-4•3 <br /> IelephOn��'umbe� nr'F, <br /> � �l ' �� <br /> Date <br /> 3. --� <br /> Inspecfoi s $ignafure ��+� S � � �" f�i 1 i-- <br /> �1;C.� t'�, �� '_� � t 4.C. Fee <br /> Dale � � � '� � .. <br /> DEPT. APPROVAIS <br /> Remarks <br /> Engineers <br /> Waler �: . � >ri-'L� <br /> - Slreef � ����� " <br /> Communiwfions �- �- ! <br /> Tmffic � +.< Y '-zT— <br /> Planning '� '� - b-�-=:-r�� <br /> �3c1/',_.,� Ta U`BT.Gr.vi� Ca�- ,� . <br /> U� •iauc��c+�w�vr.+ �,.,E� � <br /> '�PPCoe�:+c1�S <br /> '.U4i::t F � � 1 <br /> C:,II Engineern�� p�;;t. ::, ; ��,2` ` �"'3T� .-r�Ci�ER DRAIfdAGE I <br /> i C'"FC1� N11TH WJITE�. <br /> 24 NOIi> i1d�OfC � . <br />� constructi�» °� sfarted. ' � �tiTrR uNE <br />� , � ��;��, in�•; � <br /> _ -- _ _. __ . __ _ - ,:�o..�,. , <br /> � <br /> a <br /> T _ j <br />
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