Laserfiche WebLink
_ , <br /> - - i <br /> , , <br /> everett <br /> ,qpPLf�ATION FOR RIGHT-OF-WAY USE PERM! <br /> � TYPa or Print cle2rly with mk / I <br /> PRESS HARD - '�OU ARE MAKING GOPIES <br /> PUBLIC WORKS PERMIT NO. �'S's <br /> EVEfiETT,WASH:NGTON j �� � / '-' � <br /> l �� '�� �� � ^.� �;ui I ( � �l�"5���-' - � <br /> � �� �' ' <br /> AF'PIICANT(UNDERSIG�IED) AND FIRM REPRESENTED, IF ANY: i <br /> I HEREBY APPLIES FOR PERMISSION TO <br /> 1 )'-r� Cl�( r._� _ � -�- U �v'�.. ,. )��_; <br /> I <br /> � <br /> �—� .{� i <br /> � ' � <br /> �'1v1 � ��C7C�.Q 1� 'I __� <br /> AT THE FOLLOWING LOCATION_ <br /> 1 � �- I <br /> DRAWING (WORK TO BE DUNE) OR TkREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> I <br /> � <br /> � <br /> � ) <br /> I 1 I I <br /> DRNEWAY SECTION I <br /> IpERMIT IS VALID FOR 60 DAYS f.------- � I <br /> COPY OF THIS APPLICATION TO BE POSTED � I" �iP j <br /> �3 J„� �30 <br /> ON JOBSITE. --�'� <br /> CALL FOR INSPECTION 259-881 1 <br /> I 24 HOURS BEFORE CONSTRUCTION Tn� „�ae�s�9�ea ow�e� hereby ag�ees to hold an0 save harmless <br /> 4 the City of Everetl imm any and ail claims lor damages. costs, <br /> ex;onses.or causes o�aclion ihai may anse because ol installation <br /> �no mainienance ol ihe improvement or other rigbi-ol-way use <br /> � hereto opphed lor antl lurlher agrees�o ����°�da nagetl��he e�by. <br /> � Irom Ihc Ctly a�d to rep�acc Pub�c p V Y <br /> DEPARTMENT APPROVALS <br /> COMIAUNICATIONS /�. � � <br /> S`_WER / <br /> TRFFF�C ` ,�.( � `'1 '� / <br /> � OP4iPIAGE l �J�� \.�-� � �" � / I <br /> � SIGN/+TURE OF APPLICANZ <br /> 'y��,]�� ���� n �.PLANNING (\1/ / � / ��- �� <br /> WATER �� ti: �{ I� C'� � �t l ( IV I � �C II'� <br /> �� � ` �� �_�� ��� ��....'�� . <br /> ADOPE ���< <br /> SrAEE. , � �;, ���� ,,�!-��, �� l� � b =-- <br /> ZP <br /> '_ . �� ��j -- CITY <br /> � u � 7 L/ <br /> - sIRucnoN�, o>Te � � �" n��TE <br /> PPROVEO� „ TELtPMONENUMBER <br /> I �.J� �t� .. .,M� �'_ <br /> � � I:�L�' , (��� �� �� �� �� <br /> . (�/'�� onte / (�. <br /> DPiE � <br /> APPROVED AS CONS�RU TED � i <br /> `EE 1978 <br /> rOt�lSTRUi,TIOi�!/A5 BUILT <br />