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1216 50TH ST SE 2018-01-02 MF Import
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1216 50TH ST SE 2018-01-02 MF Import
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Last modified
12/10/2019 11:00:32 AM
Creation date
3/31/2017 3:05:15 PM
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Template:
Address Document
Street Name
50TH ST SE
Street Number
1216
Imported From Microfiche
Yes
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SUBMIT EVIDLNC� TI-IAT EQUIPMGN'I' <br />COMPLIES WITI-I THE STANDARDS OL' <br />THL�` UND�RWRITIJRS' LA130RATORY. <br />INSPECTIODI OF SIGN REQUIRED <br />B�I'ORE ERECTION, <br />CALL 259-8745 FOR INSPECTION. <br />APPLICATION FOR <br />� . �:.=� .�� w. <br />-rn <br />The undersigned owner hereby agrees to hold and save harmless the City <br />of Everett from any and all claims for damages that may arise because of <br />installation of the improvement hereto applied for, and further agrees to <br />remove same upon notice fro�n the City and to replace all public property <br />dama�ed thereby. <br />VALUE. C.7�� <br />CIRCUITS: � � 1 ['��_ <br />�r-�- <br />Signed <br />�`l''�,������ <br />� i� �, <br />�. <br />�, ., , � � : -- <br />. .. , � <br />cir� ;�� �., ��:�T� <br />Communiiy De�elopment Dept, <br />d <br />Own e r <br />Contractor <br />�J���--� <br />C�7�1 �I' ���f.:�iFTI <br />/ ' �'�T.3 APPnO'v'ED FQ� G't1;LDl 'G ERMIT <br />% <br />n.v,: _.1.1 z?�� 1--� `� ' !' - <br />'�. <br />
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