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2211 17TH ST 2016-01-01 MF Import
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2211 17TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 6:59:31 PM
Creation date
4/4/2017 3:01:38 PM
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Template:
Address Document
Street Name
17TH ST
Street Number
2211
Imported From Microfiche
Yes
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P, ��a . _ _ _ <br />CITY ENGINEFRS <br />EVERETT, WASH. <br />The Undersigned �d % �� �' �J <br />APPLiCATiON FOR DRIVEWAY PERMlI" <br />(� L_._"".:,.'' <br />�verett <br />r�-�. <br />, <br />�, ,- <br />-�.. �/.,�� <br />Approved fly <br />Jn,4�� 4 /97,�� <br />Date Approved <br />Hereby applies for permission to �u � %/1 � �— A h� � ' � ltJR77= "' � Fl"'V !r"r—' ,D(A)PF ir S/L.li � <br />At the following locatian <br />Z /�- l � � .-```� /�: Cu- - <br />SKETCH <br />IWork to be done) <br />-�--_ _ _ . <br />�-.;�-.ir��!�:- �� <br />� ���� � . <br />,. <br />� �,�° �� 4 Sl <br />1��C� �Y <.V�G�,,. �,� /:1'.' : _.. <br />�� <br />The undersigned owner hereby agrces to F�Id and sovc harmless �hc Cily of <br />Fvereu from any ond all claims for damages that may arise because of ihe <br />inslallation and maintenance of Ihe improvement herefo applicd ior and <br />furihcr agrces to remove :amc upon noticc from Ihc City and to replacc all <br />public property dama9ed thereby. <br />Insper.lor's Signalcre <br />). <br />�OiC .- <br />Remarks <br />i `_ <br />,.-. i`, <br />� ._.. <br />r <br />� �L.�� ---.., �ii�r� �, -r • (�,yr;. <br />6� k ?'j t3 : � /-�L/�GEU <br />�.- �LUSf/ W rN Tf/E G.e�iA/D <br />4� <br />Varianrc P,cquired <br />Yc. <br />No <br />,; <br />�s ) <br />; — ,; <br />F L i <br />%�/� . �""T� 't—,� <br />� Signafure of Applimnl <br />3 G o 7 ��GdliYa,e� <br />aad�e,: <br />�.59 - 3 f9 / <br />ielephone Number <br />3-�/- 7�. _ <br />Dafe <br />�— <br />$ �j� �--�._, _-__. <br />Fcc <br />UEPT. APPROVALS <br />y� ` a <br />Y� �� .. j �%�/:.,. <br />---',L�Ci/���' � <br />Engincerr_ <br />__t' _'I � l ' <br />WNC(— ,L; r - —_— <br />v. „� _.- . .. . � _ _. - __. <br />
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