Laserfiche WebLink
, <br /> �'.m � <br /> ' Q APPLICATION FOR RiGFiT-OF-WAY USE PERMIT I <br /> v7ype or pnn�cieariy with ink I <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS ' <br /> , EVERETT,WASHINGTON PERMI'i NO. �� <br /> i APPLICANT(UNDEHSIGNED)AND KIRM REPRESENTEO,IF ANY:_ <br /> �I� HEREBV APPLIES FOR PERMISSION TO <br /> , AT THE FOLLOWING LOCATION �J '/ V <br /> I ORAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I n � � <br /> � � 1_ �� N �' C' <br /> i � <br /> � <br /> . � <br /> l <br /> I <br /> I <br /> I � <br /> � <br /> I <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> IPERMIT IS VALID FOR 60 DAVS � � � <br /> COPY OF THIS APPLICATION TO BE POSTED f' LIP <br /> f ON JOBSITE. I I <br /> CALL FOR INSPECTION 2'59-691 1 I"30 `T _�1 30'„' <br /> 24 HOURS BEFORE CONSTRUCTION The underciBned owner he�eby eBrees to holE eratl aeve hermlesa <br /> I�e City o� Fvnra�l Irnm xny anE all clelme tor tlemeges. wsis. I <br /> etpenses.or cnuees ol ection Ihal mny ense becau9e ol mstellabon <br /> anU mmnlenence ol I�e imp:ovement or olhe� righbol-wqy use � <br /> nereto apOhetl�or antl luq�e� BB�ees to remove szme u0on ooLce <br /> Irom the Gty ana �o ieplace publ¢ propxrty Oempqetl Ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNiLRT10H$ . I <br /> ORAINAGE TR�liIC /'� � � I <br /> -�� v� � I <br /> WRTER � FL�NNMG SIGN/.i1�G��P �ICANI � <br /> S1qEET <br /> LV U �� <br /> •�DA 5 <br /> � v�cGYlF�''J._ %�/ �O > <br /> � I'�� —�� GITY 21P I <br /> A PRDVED I OR CO S �R ,710N pp . � ; �' _ � `// �/ <br /> - - ^ � i[�[nryONE NUMBEF � ( /� q�TERNATE <br /> • AS CON T CTED Uni[ pq7E — � <br /> ' CONSTRUCTION/AS[3UILT �EE 79�8 I <br />