Laserfiche WebLink
� <br /> li I <br /> � <br /> � �� everep <br /> ' � APPLICATION FOR RIGI-IT-OF-WAY USE PERMI�' <br /> ; <br /> I Typc or print ctearly wiih ink <br /> � PRESS HARD - YOU AHE MAKWG COPIES <br /> !i PUBLIC WORKS '-7G� �/ <br /> �I EVEFETT, WASHINGTON PERMIT NO. � � <br /> IAPPLICANT (UNDERSIGNED) AND FIRM REPFESENTED. IF ANV: ��a I S�� <br /> � /"v2� M1-� � � (OI/�QU.ILt� � �u-!r(� C �`a�v1 <br /> �I HEREBY APPLIES FOR PERMISSION TO <br /> i�� cl� . �� � dr ��-� wa �/ <br /> AT THE FOLLOWING LOCATION , I'd � �U--�b rG �O u W�( _ <br /> i <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> I <br /> I <br /> I i l �� <br /> � _ � � �'� �N <br /> i ��J� �� I ��`�- <br /> � <br /> � <br /> �i <br /> � <br /> � <br /> � <br /> � <br /> i <br /> I <br /> � <br /> DRIVEWAY SECTION � <br /> � PERIV�IT IS 1iALID FOFi 60 DAYS � —_� <br /> I � ' <br /> il COPY OF THIS APPLICATION TO BE POSTED + i" uP � <br /> ON JOBSITE. 'I 30, ,,,�� I <br /> � CALd. FOR INSPECTION Z59-881 1 I�-� — ��'1 <br /> j24 HOURS BEFdRE CONSTRUCTION ihe un�ersignetl owner hereGi a9rees to hold and save harmless � <br /> I �he Cily of Evere�t Irom any ana ell claims lor tlamages, cosls. � <br /> e�pcnses.or causes ol action ihat may anse because ol instnllalion I <br /> �n0�ma�nlennnte ol Ihe imp�ovCmen� or �iher nqh40��way usP � <br /> �crelo appherf lo� nn�lurlher agrees lo remove samc upon notim i <br /> bom Ihe Cily antl �0 rCplace pubLc pro0�`��Y tlamaged Ih reby. <br /> DEPARTMENT APPROVALS <br /> .Qc!��-� ��� �c r�i��oti1 �!�x= � <br /> SEW[R COlv.��NiC�"LnS I ��IU� ► � E �(=c.i! �C <br /> �-- � !� {{'^^ O k;�. \ /(`� <br /> ORPINAGE TFnFRC � )�� �� J �S ���..? <br /> L <br /> WATER PL�NNING SIGN�IU��E OF APPI�CPNI <br /> �j2� 2N0 /�J� <br /> I Sil{E .. I /DDHESS���� � � � ' O, 1 <br /> i / �� <br /> 4 /! <br /> 'i�'��� ' � I�/ / CiiY ZIP <br /> �� � 5�3 - 55 �3 <br /> AP DFOR�CONSTRUCTION '��TE <br /> iELEP��ON[NUrtI ER TLtEFNPiE I� <br /> / 7 I �-.. <br /> I APPROVEO A$CONSTRUCTED OniE � ONTE �� <br /> I <br /> � r,�r-�n�i�c�coF��r �E� 1g7g ' <br />