Laserfiche WebLink
��� <br />e�e:en <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or p�iM cleerly with mk <br />PRESS HARD - YOU ARE MAh.:JG COPIES <br />PUBLIC WOFIKS <br />EVEHETT, WA:.HINGTON PERMIT NO. 7 <br />APPLICANT (UNDERS�GNED� AND FIRM REPRESENTED, IF ANY: /7� /C J// /r S aN ��'�'S �. <br />HERE9Y APPLIES FOR PERMISSION TO ��STw /l k e1 S� (i��/�rs�t � h I�rivc ul� y� <br />AT THE FOLLOWING LOCATION 7 8�G ��t T %�/ /V-G <br />DRAWING (WORK TO BE DONE) OR THREE PLANS AT'fACHED: <br />PERMIT IS VALID FQR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTlON 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SCNE�� <br />DEPARTMENT APPROVALS <br />COAIA1l1NICAT10Y5 <br />���nWAGE �Y�� ��AFFIC <br />�w�ien TT��i?V3iDY!1'� �Nc <br />,;.� .. .,r :. a.N <br />� <br />rn�vsTr,��c;i�ior:rns r3ur_r <br />�s ` <br />�-;��' � <br />� . �,�., � <br />DRIVEWAY SECTION <br />�— - � <br />r� j I'� LIP <br />r30�� _�_ 30�, <br />The undersigned owner hereDy agrees to hold antl sare harmless <br />Ine Clty ol Everett Imm any antl all claims for tlarnages, cusis <br />expenses. or causes ol action tha� may anse because ol ins�allabon <br />and mamtennnce o� �he improvemenl or oUer nghLo4way u�:r <br />heicio ipPLe� lor anA Imiher dgices lo removC same upon nuhcc <br />hom IM10 Gly a�td �V icplacc V��hLc propprly �lntl�rtl Ihr�oby <br />/ <br />� j; .�"i �7`���-,�; <br />IGNAiU�E OF AVPLIG�NL <br />G�'U8 i��v .tnive <br />AODRE55 <br />Fv�r� T %rY1� G `j <br />CITV Z�P <br />j5S-�f89/ <br />TELEPNONE NO1.IpER AUERNPiE <br />�C 9 % _ <br />on�c <br />is�a <br />