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10726 19TH AVE SE 2016-01-01 MF Import
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10726 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 10:37:36 AM
Creation date
4/2/2017 10:36:49 AM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
10726
Imported From Microfiche
Yes
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.,.. , ... . ,.... . �--� . <br /> P��m�� r,o..-_ =- -:.:�. -.._. _. everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> CITY ENGINEERS ���:�f�.. r <br /> �' <br /> EVERETT, WASH. ' Approved By <br /> /�/>/�/ ,.G /�7� <br /> The Undersigned ���� R R F �� � �F N!''F`Y ' Date Approved <br /> ��� / ,� <br /> Hereby applies for permission to ^'% '�"-'� �� ' " � , , <br /> At the following location �� �' � l �' iN e ��` C.E. <br /> SKETGH <br /> (Work to be done-i ' �L � <br /> � <br /> � io � <br /> I o <br /> v <br /> N� ScA�� :h '/ <br /> [I��\._!I--� 5 M1�: � _. <br /> �' \' ��e� �GFxisrTzec I��� <br /> � � � <br /> ,3. -- p�at va,s � <br /> ry �� � I <br /> � <br /> I <br /> l%�' ;". ;�!':v(C I 3 � ftisYTRrr ! <br /> �� 4 � �°r__� �� <br /> N � <br /> �� � <br /> z3' �—� 7 � <br /> i 2 I <br /> :� '' � I <br /> /G' I ' � I <br /> � I I__ G <br /> � <br /> i <br /> . ._ . . .��(-)Id�'" (`S` � '!• !"/ �h-. Fh7 . I\\�\+��L��(---�.7". _�3:.�:'.,�IyF--�'. <br /> li�ir' �r �, ~: :'x \._ .,_ <br /> . ,� , \.\- I <br /> / � 1d � l:f_ . _,�, <br /> The undersigned ownen c�reby agrces Io hold and save harmless the Ciry of Variance Required <br /> Evcretl from any and cll doims for damages that may arise bemusc of Ihe Yes. .................__..... <br /> insmllation and maintenar.ce o( the improvement herelo applied (or and No....,.__..__...._.,..,.. <br /> furlher agrees to remove same upon notice from the Cily and ro replace all <br /> pubiic property damaged thereby. <br /> _...._.._..- . ._._..._-�..�.� SEC�— �>�-• .: � / <br /> L;:,�::��... . _ .:�. . -, �� <br /> (r�o . scA'_�) - - _ , . -_ <br /> l �bll" ; ,�, ..� . � �i � <br /> � Signalure oF Applicanl <br /> so i�7 c �' i 7 =" �'� i� �; <. : �j c <br /> ' .``"') �_..�r... t�f_.i�------ Address � , <br /> j � !.� <br /> i <br /> f� '.-- -.��� �_ � �: �i� '> '=� <br /> . �`V�''���_ Telephone Number <br /> —^____,_.— �f S). � �� � I � <br /> ._._._-�---^�-"'_'" ' Dafe <br /> / 7 �-�� � � � ��a <br /> Inspecfor's Signalurc 5 / ��� •-'•'�"��—' � ���'- ��! � <br /> � <br /> Fee <br /> � .�i '��� 7/ <br /> ..S�TG �,r1r_'��.C'r�� _.C..:,-/, <br /> Dafe <br /> � DEPT. APPROVALS <br /> Remarks Enginecrs_:�=,d u �1.,�'/ ��/'2'2/7� <br /> Woler - -'..� '/ _ rl>- '7 � <br /> Strcet-�-�� - �"'—'_-------�---�-- .—_. <br />
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