Laserfiche WebLink
i� <br /> . r <br /> evere„ <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMiT <br /> Type m print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON P RMIT NO. �9 � <br /> Y / // I <br /> APPLICANT (UNDERSIGNED)AND PIRM REPRESENTED, IF ANY: S P A n� �U � /�� >��,S` L�y �fJ7J'"SoIL <br /> HEP.EBY APPLIES FOR PERMISSION TO US� �AC�IC fI IIP� FD/L j=�/rf/�GC� //�7C� y/�/!/�y� <br /> AT THE FOLLOWING LOCATION �7a � r D/f"1C�A�CQ_ Z//HY('TT�- I <br /> DRAWING (WQRK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br /> I <br /> i <br /> I <br /> li <br /> DRIVEWAY SECTION <br /> PERMIT IS i/ALID FOR 60 DAVS <br /> � � <br /> COPY OF THIS APPLICATi�N TO BE POSTED �" �IP <br /> ON JOBSITE. � � <br /> CALL FOR INSPECTION 259-881 1 I"-0'�_ � _30_'� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The untlersignea owner here�y agrees to hold an0 save harmless <br /> t�c Ciry ul Everett Imm any an0 all clnims lor damages wsts. <br /> e�penses.or cduses of ac�ion Ihat may arise be[ause ol ins�allahon <br /> 5ntl maiNerance ol Ihe �mprovement or olher nghpol-w2y use <br /> he�el0 dppLCtl IOf dn0 Iuriher e(JfefS 10 rCmovC Same upon nOlicC <br /> Irom U�e Cily anA to replace pubiic properly damagpU Inereby. <br /> DEPARTMENT APPROVALS <br /> SEWER Cp1.RAUNiCUTiONS <br /> I <br /> s <br /> OFAINAGE TqpfFIC / <br /> � C 'S�'�n� ����s. <br /> \NFTER PLnNNiNG SiGN4TURE OF nApuCAN� <br /> 27aoy- � — �u�. /✓. u�. <br /> srnEEr n noor+ess — <br /> ' (I� �f��� .57�+/�u�ool� �ns{�. %��92 <br /> PPROVED FOR NSTRIICTIOF- N /�qrE _ � � clr(�a y �,,3� Z P <br /> TEIEPHON NUMpE ALiERN�i[ <br /> ;�r . . 3�,%. �,� � i� �� �s <br /> APP gED AS CONSTRUCTED , DniE pnTE -'� <br /> / <br /> CC1(�1STRUCTION/ASBUIL7' �ce — 1978 <br />