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10812 19TH AVE SE 2016-01-01 MF Import
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10812 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 10:49:05 AM
Creation date
4/2/2017 10:48:45 AM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
10812
Imported From Microfiche
Yes
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_ .. .._ . _ ..: -- - -. . �; . I <br /> _ _. . <br /> _- _�_ - l <br /> Permit No. . __,........ :'........ <br /> i ev�r�tt <br /> APPLICATION F�R DRIVEWAY PERMIT <br /> CITY ENGINEERS �' <br /> ' i:��zi <br /> EVERETT, WASH. Approved By <br /> '/ EJ� � /g�?— <br /> ?he Undersigned���1�✓�Q�� U�'"��r/v �ate Approved <br /> Hereby applies for permission to �� �--� 5 T 2 �S� =�� � �'/�� _ <br /> At the fallowing lomtion /�/��z "" � i� L� /—1 ' /�� <br /> V <br /> I <br /> SKETCH <br /> IWork to be donel � <br /> 0 , <br /> N j, <br /> 45P.NAL i DE'/%E � <br /> ---- \ <br /> — �� ry ST 1\� \ ,��, <br /> .� <br /> %'� c�isr, �v��E.ePaLE � <br /> U � <br /> �, �i_ �ll <br /> �>, � 4� <br /> ---�- � <br /> � � SGAL� � " ' �� <br /> V lL <br /> s <br /> �t�OTE : <br /> ASP�IA� ; ��'�v� T E�%�',y /�/:: �.I <br /> ,✓rt'N.=/�C• Wi�� SNA�'E sicve,e �a�E v I <br /> �X�.r-NSE Q-=' t�_'.O � <br /> ) McDi:_!L GS!✓,'F�' � �1I <br /> . � �: \ � <br /> �1-� II <br /> V <br /> As� �,�:'. ;i� � � I <br /> � 2� I <br /> Thc undersigned owner hereby agrces lo hold and sovc harmless thc City of Variance Required <br /> Everelt from any and oll claim: for damages that may arise bemuse o( the Yes_... <br /> _...... _. ._.__. <br /> installation and maintenance of the improvement hereto applied for and Na <br /> furlher agrees lo remove same upan notice (rom die City and to replace all <br /> public property damaged thereby. � � <br /> __ ,��;.� <br /> ,� rt,%:.' . , `., �'4, , �t�. , e <br /> _ �,1 <br /> i <br /> Signalure of Appficanl <br /> -, . , ( �6 � �`l I "7 ��- �!�'L a� t��, <br /> -� . . Address � , . <br /> �'�'" _r � ; r � i�f'tin 1 , � . <br /> 3 S•�/GUO4 <br /> Telephone Number <br /> �/L��. ;� F� /,��/� <br /> Dale <br /> n <br /> Inspecfor't Signalure $ r�-�� 7 =�� `-' "� � "� - � <br /> % Fee <br /> Si rs Cv�-'�.-.� .�"�> �/;c.�"/:2 <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engineer � � �/-'�"7u-7-�-��—///T�� <br /> ��- �, � 1'1� .I <br /> Walor� .,c L; '..� � ; <br /> - --._. .. Slrcel—��..>n^�=._ ��� ! •-, I <br />
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