Laserfiche WebLink
, <br /> I � _n` p � <br /> I � t <br />{ � <br /> �ef� - APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print clettly with mk <br /> PRESS HARD- YOU ARE MAKING COPI[S <br /> PUBIIC WORKS PERMIT NO. 79 �J 9 <br />� EVERETT.WASHINGTON <br /> I APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �A�� Ll�� �S� � <br />� HEREBY APPLIES FOR PERMISSION TO <br /> � ShGved dr�'�cv c..�t �� r' �R. 1 of /��xf- <br /> i <br /> ��l <br /> AT THE FOLLOWING LOCATION / % `6 �LC N UJob D F1 U� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATT.�CHED: � <br /> . <br /> , � �.t, � n�--�-�-�..�- ,��--�-� ,�-�. ��� <br />� � .� ���, � -t.,Q� ��,�..Q�� . <br /> ,-�..�" � <br /> E _, <br /> i ��,�.�-� <br />, ���sz <br />� h t.,r.r � � � i�s�l l <br />� I ccS���� �O"'�-� � '� <br /> P . �� a-Gre° a S 5 , <br /> / g/ <br /> H.ow So�d r aCc�l�'P <br />� P►�� <br /> ,o_ZT-so <br /> �� <br /> f <br /> 1 <br />� <br />! ORIVEWAY SECTION <br />'� PERMIT IS VALID FOR 60 DAYS � --� <br />� COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I 3p�� 30" <br /> CALL FOR INSPECTION 259-881 1 I� <br /> 24 HOURS BEF�.'•itE CONSTRUCTION 7he undersignetl owner hereby egrees lo�olA an0 save hermloss <br /> Ihe City ol Everetl Irom eny an0 911 cleims lor CamHges, cosls, <br /> e.pensos,or ceuses oi action thet mey eriee Decause ol mstalletlon <br /> an0 muinirnance ol Ihe �mpiovemen� or other ngM-ol-way use <br /> �ereto aOF��eG lo�antl�urlher egrees to remove same upon noU[e <br /> Irom Ibe Cily anA to replace pubh� ,^�opotly tlamaged t0ereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNiGniiONS I <br /> DNAINAGE TRAfFlC �I � V <br /> �/GY [ <br /> W�T�� ' PLANNING SIGNALURE OF AVPLiCABi" ' a / ��' . <br /> i�a9SQ�� �" i <br /> srAeei nooness ��.zC.�� %Oa�� <br /> /� �� ShOhO� EnEtt�u _ <br /> � r 1 l G�Tv / /� 21P <br /> � v/ �3�_f02/ T 1� � �r;� <br /> pPq,)VED FOR C 1AU TiON ��TE rrr <br /> TELEPMONE NUA�OEA AUERNAIE <br /> I ---��J—f�,�/�y -- � <br /> qPPROVED AS CONSTf1UCTE0 ont[ D^rE <br /> ( CONSTPUCI'ION/AS BUIL ,�E 1978 I <br /> �"�'".+""'��—�r� � <br /> � <br /> . <br />