Laserfiche WebLink
_ . _ �-T----,-�- <br /> - - - -- - - � � <br /> .r� _ . � � _�....�s.�, . - '..a:�?.TN <br /> ' , . . _. . . . c,.--r---�--�—•— _:�--"a— :.. �__t._— ..- .'----.—�—^—i.-ry.- <br /> :/+ .=^ <br /> i . - . . ' ' `-- i - . ..i! ' �... <br /> � ' • : � ' . . . . I - � � - <br /> I <br /> tVtfll� <br /> ; ; <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> . ( Type or print clearly with mk <br /> . `•� PRESS HARD - YOU ARE MAKING COPIES <br /> { � PUBLIC WORKS . ���c <br /> EVERETT,WASk�NGTON PERMIT NO. <br /> ' � APPLICANT(UNDERSIGNED)AND FIFM REPRIESENTEO,IF ANY:— � � �/'�r/�92Tr C �/�S/. <br /> � HEREBYAPPI.IESFORPERMISSIONTO�1(L�� �^^"�1✓757 � �^- �li�l/,C' ��5�! �1 u�`�N <br /> � AT THE FOLLOWING LOCATION ! G�� IJ <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> U,.�, S ���1 <br /> � � P� ��J <br /> ; � 7�2� / <br /> i ' <br /> i <br /> , I <br /> i <br /> I .. � <br /> � %: , %� , s � �� �J/� dt yii:r� � : • <br /> � . 4 <br /> i .. i <br /> i � <br /> � � ` .. � � �G , <br /> ; " <br /> I <br /> • I <br /> j <br /> �11, _. <br /> ;, <br /> �, <br /> i DRIVEWAY SECTION <br /> � PF_RMIT IS VALID FOR 60 DAYS � � <br /> � COPY OF THIS APPLICATION TO BE POSTED �—���� LIP <br /> ON JOBSiTE. <br /> � CA1.L FOR INSPECTION 259-881 1 �'3o'�T ��30"� <br /> � 24 NOURS SEFORE CG�ISTRUCTION 7he unCer,ignod awncr hereby agrees to holtl xnE aevc harmlec� <br /> t . Iho Gty ol Fverett hom eny anE eil claims lur tlamages, co:.L•. <br /> � esp^nses,or cautos ol eclion Ihal may ar¢�c beeame al lnstallabon <br /> anE mamlenance ol I�e impravpment o� otner nghl-ol-way u!e I <br /> jhereln apphpa lor anC Nrtner dgrees Io remove srme upo�nobte <br /> i <br /> DEPARTMENT APPROVALS ��om ine Cny and �o rePuce nuni¢ p.overty eamagee mereDy. - -� <br /> i <br /> ' S['NER COMMUNICAi NS <br /> 7 //�� q <br /> ' � / ' <br /> 1 DR<IN�GE � TR�fFlG // � t <br /> y � � <br /> �I � "\ � �l�!/So--2l�Y—�' <br /> �I ��PfER PUNNiNG . . � . SiGN�TUREO��P �UHt � . ��-�,' <br /> � �:'��4 <br /> � _ S/� /Tr1iMi.�.P SO ' ;,,• <br /> SiqECT MORE55 ���.. <br /> � . F— 14�/F— G.i g�/�!// ` � •. <br /> f . .. CITY . . 21P_ . <br /> � H-P �DFORC TION E � �f � �� Q� .' � ' - <br /> � � TELEFMONENUMBEfi AIiENN11TE <br /> � �/�� ��o . ���h��7 � ti • .. <br /> �PPflOVEDA$ 'pN..iR C DATE. . , .\ . 041E . <br /> '�� ' '� _ � CONSTRUCTION/AS eU�PT " -�-'�-s'-°' � � ��`��/ <br /> � , ��. -' � <br />