' ! t.. •
<br /> � �w�a ��+i9^iI'R�
<br /> b��M'.`"e..�
<br /> 1-*�'�. '`
<br /> ntx..4.rlx,k
<br /> I `Y '^�
<br /> ! r�:'�.,���
<br /> � ;;u`S'i1':'..&
<br /> I �'�,� �
<br /> �,;�t?}�,�
<br /> — — � +'t 'i'.��
<br /> I � �.
<br /> � ' i i i
<br /> ! I ,.�r..i .�hx
<br /> '� �'��;�5 A#
<br /> � everett � ���
<br /> i � APPLICAT(ON FOR RIGliT-OF-WAY USE �ERMIT ���'
<br /> Type or print clearly with ink ����ti,
<br /> ! pRESS HARD - YOU ARE MAKING COPIES �
<br /> � PUBUC WORKS / / .,rF"�,��'`t1
<br /> I EVERETT,WASHINGTON PERMIT NO. �C�LL. I
<br /> '
<br /> i i ?,PPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �I
<br /> � 3�'
<br /> i6�`;ii�l ' HEREBY APPLIES FOR PERMISSION TO �
<br /> ;,iik�:pj �
<br /> I
<br /> "+,y� I
<br /> �sy��;'.;;� , I
<br /> IATTHEFOLLOWINGLOCATION I� IO � I � .�"` ' II
<br /> i DRAWING (WURK TO BE DONE) OR THREE PLANS ATTACHED: , ap '
<br /> �i �,;,;�
<br /> , � i�'+`,��;�;
<br /> ! ;;';f��,,,.
<br /> t.
<br /> !i�.!�st����`�..
<br /> � k �11
<br /> i74�; �
<br /> � . ' ;,-„'i�
<br /> ���
<br /> � I I`,�
<br /> � i 1
<br /> I 1 �i
<br /> I • I 1�,�:
<br /> I . ..l1 �i��y���
<br /> �
<br /> � I 1'nl
<br /> � I il��:!
<br /> � II � '��'�il�
<br /> ... � � .N:li�
<br />`II i
<br />� j , I I
<br />� I, I
<br /> �. � I
<br /> � �
<br /> I I
<br /> i I
<br />{, I ��
<br /> i� ' � I
<br /> � � �,�. - _
<br /> 1 I DRIVEWAY SECTION
<br /> PERMIT IS VALI� FOR 60 DAYS � �
<br /> COPY OF THIS APP'LICATION TO BE POSTED i" LIP , , .
<br /> , :�....
<br /> i ON JOBSITE. I 30„ I 30„ � i ; :�_'rti:
<br />��' Ce4LL FOR INSP@CTION 259-887 1 1�� '1• i I, `";;�'„ ';`;��
<br /> � 24 HOURS BEFORE CONSTRUCTION ' ,`°�•
<br /> j Tho untlersigne� owner h=reby agrees to holtl ana seve hermless I �.
<br />�' ' ine City ol Everett Irom any antl nll cleims lor tlemages, cosis. I .�
<br />� � � expenses. or causes ol ec�ion Ihat mey erise because ol lnstallation :I
<br /> antl .nan�enance o� lhe improvemenl or other righi-ol-way use � �`� �
<br /> r i nereto applied br nnd lunher agrees to remove same upon notice � i °�1�1 i
<br /> Irom Ihe Gty ana lo rGplate Oublic property tlamagetl Ihereby. I ��p ��{�
<br /> � DEPARTMENT AFPRUVALS I i �,1"��
<br /> I F , �
<br /> I l ��`'i
<br /> - � �� .1;`
<br /> i SENER COM61UNiCAiiONS �, �
<br /> I D�NHAGE TRAFFIC .
<br /> 1'I�TCR FLr1NNING SIGNRT�'!IE Ci PPLICANT I
<br /> (��Z i� I
<br /> I STREET AD�R�E55 ,r I
<br /> � � ��W I—I�v1 I I�i� lS� � Z9O
<br /> ����� , \ I— J�—�a �,r. � z,o
<br /> I �PROVED POR STRUCTION '� �ntE � S�,V_L � I ,
<br /> I ., � ��1 �"' . ..
<br /> . /� / // �, iELEP1HONE NUMBER � q�TERNATE
<br />� _ \Ir'Yf � f l!=r".." ' ___. `^�,7 /v�. . I L=``_-�L � ,
<br /> — — �
<br /> ,'�_' � .. . . ,,. .:... ' I
<br /> ----- ----._ r
<br /> �
<br /> I': . . _. . ... -. . . . . ._
<br />
|