Laserfiche WebLink
�, , � _ _ ___—.-� <br /> � -- <br /> l <br /> eve.en <br /> � APPLICATION FOR RIGf1T-OF-WAY USE PERMIT <br /> Type or prinl clearly wlth ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUDLIC WORKS I <br /> EVERETT,WASHINOTON PERMIT NO. 79 3J / I <br /> APPLICANT (UNDEHSIQNED)AND FIRM REPRESENTEO, IF ANY: -- <br /> HEREBV APPLIES FOR PERMISSION TJ — — � <br /> ATTHEFOILOWIN� LOCATION IDD3 Chl r �FS ST�� _ , <br /> ORAWINO (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �' <br /> I <br /> i <br /> � <br /> I <br />` � <br />� I <br />� i OR1vEWAY SECTION <br />� PERMIT IS VALID FOR 60 DAYS � - -� <br />� COPY OF THIS APPLICATION T� BE POSTED i" LIP � <br /> ON JOBSITE. I 30� 30 <br /> CALL FOR INSPECTION Z69-661 1 1"�� �� <br /> 24 HOURS BEFORE CONSTRUCTION Tha unGanlO�ed uwner heraCy e0ree� to holE enE�eve�ermless <br /> , Ine Gry a1 Enm11 Irom eny �na HI clalms IortlemeQer.. caate. <br />� o�pense9,or ceusm ol ecUon Il:et m�y erile AOceule ol mvtellebon <br /> enA mninlennnce ol Ihe impmvemenl or olher riqld-nbwey uee <br /> hxrela epplieC br nnC lurt�e�egreet lo remore seme upon nol¢e <br /> irom t�e Cily xnE lo repir•e puCuc O�opany tlAmageA Inerany. <br /> DEPARTMENT APPROVALS <br /> SFWER COMMl1NiC�110N5 1 <br /> DR�IN�OE IR�fRC / / � <br /> � � <br /> W�TEP PI�NNING Si6N��U'���1-��� �� — <br /> �� <br /> SiPEET ��DR <br /> s�-� � ��_���� ��,, 3��'�" �o wA =��'� <br /> v R RUC— 1 ! — �oet[ <br /> �EICPMONE NUM9ER �11E11N�lE <br /> � 8 /� ba 10 11 ��' � <br /> —� ---- ` <br /> . _ 1. nvru�e ; r�NS.nw rt n . . . n., n•.e <br /> t�_ <br />