Laserfiche WebLink
, - r j ` T <br /> everen , : � , . ' '�� <br />` � APPUCATION FOR RIGHT-OF-WAY US� �ERMIT �,p�y�'3� <br />` Type o�prin�clearly with �nk � <br />� PRESS HARD- YOU kRE MAIiWG COPIES <br /> PUBLIC WORKS <br /> EVERET7.WAgHINGiUN PERMIT NO.�i �j% �� <br /> V L / <br /> APPLICANT(UNDERSIGNED)ANDFIRMREPRESENTED. IFANY:_� ���/ �C (�. GN �) nJ - C�Jni7�.' rl r ��� <br /> HEFEBY APPLIES FOR PERMISSION TO � �� (.�� 7 � <br /> I <br /> / i J / <br /> i AT THE FOLLOWING LOCATION� `-� V I ` a. I �7� <br />� DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> j � �� :�� j , .. „" f�" <br /> I � ,(�., � <br /> I i� , � <br /> 1 <br /> il <br /> C <br /> i � � � �/P� s <br /> �� � � ��� � <br /> �� g(f,� a �//� - d 1P � ✓� <br /> � � <br /> 1�� y � � � � �. <br /> I a����°J �1A �J`�S •�, 1/ �� / �, � �,p o r �� <br /> I ¢ ;o�S ��► � ,/ /�j� ! Q � � s k�� <br /> � l � � ��--� � r <br /> ���cY� �e�Gt� ��� � ��,1 �, .r <br />` f �� � o.� <br /> � �� �.� re� , ,. , . <br /> I �Q� � � /„r,,, � P��,., ����1 f J. <br /> i���� � <br />' I� j�� �� , �o . � -� <br /> � <br />� DRIVEWAY SECTION <br /> I <br /> 1 PERMIT IS VALID FOR 60 DAVS � � <br />, COPY OF THIS APPLICATION TO BE POSTED � i" UP <br />� ON JOBSITE. �30" _ I 30" <br /> CALL FOIR INSPECTION ,�?59-861 1 —'f' <br /> �HOURS BEFORE CONSTRUCTION ihe un0ereigneC owner nereby agiees lo holE enA save hermless <br />� ths Qty ol F.verett Irom eny and all claims lor Aamagea, cosis, <br />, expenses.or tauses ol aclmn Ihal may an9e beCause ol installation <br /> and mamlenance ol ihe impmvemnnl or ot��� ng�t-ol�way use <br /> hemlo BppLcd lOr anE Imihcr AJfPPS i0 IPf1iOVC SdTB up0��GbCC <br />� IrOm IhC G�y 3�G b �Cp�2tc pu�hc o�aveily aemeqee R��MebY. <br /> DEPARTMENT APPROVALS <br /> SEWEH ' COMMUNiCMilONS <br /> DRRMAGE � — . _ iHnpFlC "1 �� �✓Y~�y`_ <br /> ! <br /> WATER PLANVING _���' SICaN�TUPE OF APPULRNT <br />! � y V / ��� �� <br /> Jv <br /> sTnceT noon¢ss -�/- .. <br /> �V •�r't' /I J �� 2u / <br /> I � � h� //,/�/(J� CITV ZIP — � <br /> V t ( <br /> APPROVEO POF ONSTRUGTI N � A�E Z S y - Z � 7 I Z S S '.��, 7� <br /> TELEPHONE NUM6EH ALTEPNRIE <br /> I APPROVEO AS CONSTRUCTED DniE ��TE <br /> y - � ' - � ° - <br /> I^:ITIAL INSPECTION R[QUESTED �ee �g�g I <br />