Laserfiche WebLink
� <br /> � - <br /> evereM <br /> Q APPLICATi ION FOR RIGHT-O�-WAY USE PERMIT <br /> V Type or print tleuly wi�h Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLIC WOqKS <br /> � EVERETT,WASHINGTON PERMIT NO. r � <br /> APPLICAN7 (UNDERSIGNED) AND FIflM REPRESENTED, IF ANY: '�%l/� �/ 1 � r ; J r ,_� i, .! ,-' <br /> HEREBY APPLIES FOR PERMISSIGN TO ' '��� �• %- - �-'� �� s-I ' \ ' �' �,� .'�'-` (� <br /> /�' - <br /> AT THE FOLLOWING LOCATION_ S . < � A - �;� (•�� '� -`� ' „�� 1 r <br /> DRAWING (WORK TO 8E DOME) OR THREE PLANS ATTACHED: <br /> � �i <br /> ���t �� ���� <br /> ��t,ti�.�: ��zyl� <br /> I <br /> IDRIVEWAY SECTION <br /> iPERMIT IS VALID FOR 60 DAYS � <br /> ' COPY OF THIS APPLICATION TO BE POSTED i" LIP � <br /> ON JOBSITE. � + -�� <br /> � CALL FOR INSPECTION 259-881 � �30'; L I 30" <br /> -`t <br /> I 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby ugrces to hold antl save harmless <br /> � A Ine City ol Everett Irom eny and ell claim5 lor domnges, wsis. <br /> I J� � ' � � � , . � , e.penses.m enuses ol action tha�mny anse Decause ol mstallatwn <br /> and mqintenance ol Ihp. �mpmvemenl or other nghl-ol-way u5c <br /> I� herMo apphed lor antl luriher agrees Io remove samc upon nobcc <br /> DEPART�VIE�1T APPR�VALS ��om tne Cdy ana to m0iace n�bnc propeny aamagee mereey. <br /> i <br /> ISEWER COMMUNICATIONS <br /> � <br /> ORA�NAGE TPAiRC �/ <br /> I I J L G l � ti- /� � <br /> WATER PLANNING SI4NATURE OF'AFo�ANT �-��5��� <br /> � <br /> II ! 7 � <br /> �3 J � C%w <br /> SiREET ApDnESS �^ <br /> � �-z..�,.K� �'i fi� n3 <br /> ��r. ,��. <br /> nPFROVEO FOR CONSTRUCiION LntE >j� _ ; '-t 1 , <br /> ���<<..�_:� .,, ..,,��--- --�—�= �1�i_ � �� 7 3� � <br /> — :.. �,.,.:�, <br />