Laserfiche WebLink
_ �.•,a . ,. . - <br /> !,�►: � : . -�` , ' � . ' ' . . <br /> , . . � . <br /> � ` " APPWCATION FOR RIGSHT-OF-WAY USE PERMIT <br /> � ��. . . . . �. TYW w pint cN�dr wU�iek . ' . . <br /> PRESS HARD-VOU ARE MAKINd COP�ES <br /> �P�...,,J YIIOIIKB'. � � � <br /> EVEF,e'TT.WASH!NGTON PERMIT NO..�Q—� <br /> APPLICANT (UNDERSIGNEDi ANC F�RM REPRESENTED, IF ANV: <br /> HEREBY APPLIES FOR PERMISSION TO��^`��I '^�_ � /�`'" /� <br /> AT THE FOLLOWINti LOCA?ION_ �6�' / �/F�7 U1 OOq /'f (�� <br /> DRAWING (WORK TO BE DONE) OR THREE PLAN� ATTACHED: <br /> �i.I�JGaiG�Rx:�r-'�" � � �G.""�/`""�_ ^ ����L <br /> 5�S�a�� �� ��,,Q�it�— �hL �',�/�lcN� <br /> ����. ��p�-��. •�,�;�.� .��:� � <br /> hr��rr�� <br /> A I o�. � 'L `� ``., ✓►s ��A�^ <br /> 1�I, o S ► �e `'" <br /> , n S-�. ��� � <br /> �oiK— � ooK-S O �0. <br /> . �-ti 1 e -�-� o�t ��-� \a��-- <br /> �y O I�� �''-�a-y � � <br /> ��oa/ � �ro���as �ee... So l <br /> �o - z �-w � <br /> ����� � <br /> � <br /> DR�VEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ----� I <br /> COPY OF THIS APPLICATION TO BE POSTED f i" LIP <br /> QN JOBSITE. I 30'� I _L3o� <br /> CALL FOR INSPECTION 259-861 1 �' '�� <br /> ,. 24 HOURS BEFORE CONSTRUCTION The untlorsigne0 owner herehy agrres to hold enC seve harmles' <br /> � the City ol Evmeit Irom any entl u� �'^�m5 �or dameges. cosl� <br /> �; eRpenses.or causes ol action Ibnt ma� ense Decause o�mstallpbo� <br /> Z' ana maintenance ol I�e improvement o� othe< <igh4obwBV us�� <br /> Iterelo apPhed br antl lur�her agrees lu •emove same upor nolice <br /> 3. Iwm 1he C�ty and lo repiace public Vr�oerty tlnmaged I�errUy. <br /> t; DEPARTMENT APPROVALS <br /> SFWEA COMMl1NiCAT�ONS � <br /> DPFINPGE iRRFFlG �� � � �'�� � � � . <br /> i1 � :� r� <br /> � <br /> WATER PIPNNWG — 51GNA1 F APV �J� <br /> �, ,_� �5 1 a � � f�Lt �Q <br /> sreeEi oo.,c�� <br /> �j :.�� �-� f� �J�v ��do � <br /> T/rn�: - 7/`� �7 { :�iTV ZIP <br /> 1/3+1 J ' ^� y T <br /> pPPR ED O CONSTRU ON onTE ��.�(J :.;`.0��� �'�`��� �S ] �O V <br /> TELE��IONE NUMBER RLIERNRTE <br /> qPPROVED AS CONSTRUCTED DF�[ ontE <br /> __ _ .. _ _ _ _ C�NSTALICTION/AS ElL11LT oFF . 1979_ <br />