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2201 16TH ST 2016-01-01 MF Import
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2201 16TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 8:14:30 PM
Creation date
4/4/2017 2:24:49 PM
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Template:
Address Document
Street Name
16TH ST
Street Number
2201
Imported From Microfiche
Yes
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i _. : <br />Permit No. _ : _..'....__'.---.--1 <br />CITY ENGINEERS <br />EVERETT, WASH. <br />ihe Undersigned <br />.APPI.ICATION FOR DRIVEWAY PERMIT <br />� <br />�'. / �/,-r � <br />/fT r i i. i—� i :.rriii. � v. i rL ' <br />Hereby applies for perm�ssion to , - <br />/�G/� ,l� �l��,�� �'�"%� � <br />� /� �� �� <br />At the following locs <br />-� ��` - -- <br />SKETCH <br />IWork to be donel <br />� <br />Q <br />=. <br />� <br />everett <br />r <br />r?� �'" . <br />j ' �. �' I <br />i c <br />� Approved By � ' <br />�- �i-7�1 <br />Date Approved <br />;� �,� � �_ <br />Thc undersigned owner her.by agrces to hold ond save harmless thc City of l'i �.�i� � <br />Everett from cny and all claims for damages thaf may arise because of Ihe <br />in;lallation ❑nd.mainlenunce of thc improvemenf herelo applied for and <br />iuriher agrees to remove same upon notice irom the City and to replace all <br />public property damaged Ihereby. <br />/ <br />� /. <br />/�'L/� ' <br />_' -/ 1 Ss ��t/��. , <br />'�? � �-e'i =<-,-,� � J>�v <br />. .. �J �i 1vj�LJ. a�.• <br />O <br />� ' <br />_� �2¢" <br />� <br />� <br />l�O�; : �_;c�'T i�:rr <br />Variance Required <br />Ycs. _ __ ._._. .._. <br />No.._ __.. .. . <br />'�(iil� ;.. �l,-t�;�: . — <br />,� u . _ . <br />I` ( CC-,- <br />� Signalure of Applimnt <br />� 1- � 1 <br />Address <br />j) % 9 � . : � i-' , <br />■ <br />
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