Laserfiche WebLink
� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYW or print c;early wilh ink <br />PHESS MAHA • YOU ARE MAKINO COPIES <br />PUEUC WORKB <br />EVERETT. WASHIN670N PERMIT NO. Q��L <br />APPLICANT (UNDERSIQNED) ANO FIRM REPRES'cNiED. IF ANV: /�r r h—C�S�-�—W G S'S p~ — <br />HEHEBY APPLIES POR PERMISSION <br />0 <br />AT THE FOLLOWING IOCATION �A�,Z� <br />DRAWIN(i (WORK TO BE DONE) OR TNREE PLANS A7TACHED: <br />Y <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCT�ON <br />�EWEn <br />DR�IH�6E <br />W�iEP <br />DEPARTMENT APPROVALS <br />COMMUNiG�li0N5 � <br />�H�ffIL — <br />PL�NNIN4 <br />�/���'�'"_� 113��cL <br />A V J S�T��_i�_ / D E <br />��� �=. �l�,-�a <br />.�1�� �; u eo u.,e <br />ciuNSTnU� i tUNiAS BUiLT <br />4.'. . . . . . . ' . <br />DRIVEWAY SECTION <br />�� j I'� LIP -�1 <br />jgp�� _ _I 30,� <br />�- � <br />Tne unEerelpneE owner hereby epreef lo hola ena aere harmlMa <br />�ne Qly ol Evemit irom eny �nE eii cleinn lor tlem�pe+. r,o�l�. <br />espenus. or ceufe� ol ecllon I�el n�ey uriae beceu�e ol inelellelion <br />an� mnmtennnce ol Ine impwvemeit or ol�er ngni-oi�wey uee <br />t�nreln Applipd 10� xn0 �urt�er agrees to remove eeme upon nal¢e <br />linm mr f,ny xn� to iepince oubirt p�ov���Y Oame9ea lneieEy. <br />...L��Lt�1Q� � Ld i/ C { i _ - <br />9Z N�IUAE O� ��PLIC�N� <br />, � ���,�' ----- <br />♦ R�E55 <br />C!' .1 � ! _� / � � � � <br />jIP <br />�-�SS.�%�U �.s 3 - 3%�L�l� <br />TELEPHUN[ NUM9EA �LIERN�TE <br />. ,� -L� - �� <br />nnie <br />---- _ <br />vFE <br />1978 <br />���... _�4� 1 �.,., N�.tiY <br />