Laserfiche WebLink
� <br /> i - � - ; <br /> r � � <br /> evemit � <br /> i APPLICATION FOR RIGF4T-OF-WAY USE PERMIT j <br /> I � Type or print cleady with ink ' <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> i EVERETi,WASHINGTON PERMIT NO.�D /"��I <br /> r 7��� <br /> � APPLICANT (UNDERSIGNED) AND FIRM REPFESENTED, IF ANY: �/7��— .C X��ISZaC f-� I <br /> li HEREBY APPLIES FOR PERMISSION TO_1,C�J v� ��—��I'YCJ�(//r l' //l-L C� I <br /> � <br /> AT THE FOLLOWING LOCATION_ �D � � S � � /� O Ct ,r tv p .i _ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �G.95S �� f�5'��G ���ez� C/%'/S�� �/L� �-'/c'yff7'-��- <br /> � ��y <br /> I Po� ,���� � ��� I <br /> i <br /> i <br /> � <br /> I i <br /> I <br /> � <br /> ;: <br /> � I � <br /> � <br /> i <br /> I �° <br /> I ' �' <br /> I :"� <br /> I � <br /> . � <br /> I .. <br /> � <br /> � <br /> � <br /> DRIVEWAY SECT!Gtk r; <br /> PERMIT IS bALIID F'OR 6G� DAYS I � <br /> i f------ -------� I <br /> COPY OF TH15 APPLICATION TO 3E POSTED f I" LIP ' <br /> ON JOBSITE. � � <br /> CALL POR INSPECTION Z59-881 1 �..30" �-�_l 30" <br /> r <br /> � 24 HOURS BEFORE CQNSTRUCTION 7he undersignetl owner hereby agrees lo hold antl save harmless � <br /> I Ihe City ol Everett Irom any and nll clalmc Ie tlamages. eosis. � <br /> I expenscs,or causes ol actie��ihal may arse because o�m,iallalion <br /> ! antl maNenance oi Ihe imp�ovemen� or otner righl-o�-way use <br /> I herelo applietl lor antl furiher agrees b remave same upon nulice <br /> Irom Ihe Gly ana lo replace publ¢ prop�r�y damageC Ihereby. <br /> , DEPARTMENT APPROVALS <br /> �� , . <br /> SEWER CO tUNIC�TiONS <br /> i <br /> � U�i AGE TPAFFlC /7 <br /> �� _ _ �1^-��- �Yl�� <br /> WfQER P ING SIGNA RE OF AoPLICRNt <br /> �� 2�Gz'J C,�'i`�T P�� <br /> '; sra=e� --- nooaess —.- ' <br /> ��/� ����y�`"""`\ `��-C � IA� �'1512 Z- <br /> ��T/ 1 CITY ZIP <br /> ���� 2 p � <br /> i A ED FO CONSTRUCT I oAiE J�j Z�/�//-�U <br /> �-r <br /> iELEPHONE NUMpEH qLTERNnTE <br /> � .liA2..1PIl � /(;- `3 _� i <br />