Laserfiche WebLink
_ - - <br /> evereft <br /> Q APPLICATION FOR FiIGHT-OF-WAY USE PERMII' <br /> � Type or priN cleady wilh mk <br /> � PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS � <br /> EVERETT,WASHINGTON PERMIT NO. � /� <br /> APPUCANT (UNDERSIGNED)ANO FIRM REPRESENTED, IP ANY: ���•�- ���L L — <br /> HEREBY APPLIES FOR PERMISSION TO �UI�O I"I �%'r�2i�0 RT O/Y r X i S y/rI C–� <br /> AT,�THEFOLLOWINGLOCATION_ �07�� ,LDM�%��� A�//L �_ _ <br /> DRAWING (WORK TO BE DONe) OR THREE PLANS ATTACHED: <br /> �— DRIVEWAY SECTION <br /> PERFv71T IS VALID FOR 60 DAYS 1�.� —.J <br /> I I <br /> COPY OF THIS APPLICATION TO BE POSTEJ i" LIP —� <br /> ON JOBSITE. �3O" I �30" J <br /> CALL FOR INSi�ECT10N �259-881 1 't' � <br /> 24 HOURS BEFORE CO�ISTRUCTION The un0ereignee ownen c�reby agrecs lo�old anC save harmless <br /> Ne City oi Everett fmm any and au claims lor damages, costs. <br /> , evpmses.nr envses of aclion Ihat may arise because ol installaliun <br /> and ma�ntenance ol ihe impmvemenl or other rlghl-ol-way use <br /> here�o apphetl br and lur��cr agrees lo remove same uFon nobce <br /> irom ihe Ciiy antl lo replecc publ¢ pmPerly tlamaged �hcre0y. <br /> DEPARTMENT APPFOVALS <br /> SEWER COMMUNICnilONS <br /> pRPINAGE TR0.FRC f1p J � � f%/J <br /> t w�i� ✓r�i i <br /> �yp7Eq FL�NNING SIG4ATURE OF�PP�ICANi /� <br /> � �� � 6 `��,-�.,�����:�� <br /> '� sra[er , nooaess <br /> �I d�D� � 3`�v=�'0 � .� ��' ,�v�, 9 � � o r <br /> CRV I�P <br /> I P ROVEOFOR NST G110N DnTE <br /> �252 / 37S <br /> ^ LELEPHONE NUMpER ALI[i1NlQ[ <br /> � � � /Z- �i - �/ <br /> i � i <br /> V v DAS ON 7 UCT 0 ' � oaiE <br /> � ' ' " �`����/ �� CONSTRUCTI /AS BUIL7 �ce 1978 I <br />