Laserfiche WebLink
-� . <br />@veretl . <br />�� � APPLICATION FOR RIGMT-OF-WAY 11SE PERMIT <br />Type or prin[ dearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES � <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. �U � �� <br />APPLICANT (UNDERSIGNED) AfvD FIRM REPRESENTED, IF ANY: �v�f"C � _ C/J �%. I�C . <br />HEREBY APPLIES FOR PcRMISSION TO U�iE �Y/�T /�JL �LJ��C/E LtJ/i-5/ OFF GF <br />/YGt i✓ <br />AT THE FOLLOWING IOCATION �5.���,sy�/-/i/-y/] —,E✓E,2F �-T <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />s� , (/ ."�'r, . F��.` (� I .�q 6 i �-. �Y/ ._r _ �!��� /�'����`" J �� �'G� J �!_y <br />�,�i i �J��-�t,rz l: ''� ' `.t "," � (% <br />v <br />PERMIT 1� VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />Oh! JORSITE. <br />CAtI� FOR IfdSPECTION 259-881 1 <br />24 FlOURS BEFORE CONSTRUCTION <br />sEwEn <br />pRrIiNAGE <br />SiREEi <br />DEPARTMENT APPROVALS <br />COMMUNiCAT10NS <br />TRAFFlC <br />PL / NNING <br />/_��./',. � . ��/ <br />; j' 2�_�'�i , /—/L, - �. <br />ovFnFoa I Ns ucrioN �oaiE <br />APPROVEDASCONSTRUCTED I::,rE <br />, <br />:, <br />-.t <br />DRIVEWAY SECTION i <br />i <br />, ;� . <br />f•--- _—.—__� � <br />('�� ,I , <br />I \ i ��� LIP <br />� 30" 1 � 30" <br />i <br />v <br />The un�ersignetl owner hereby ogrecy to holtl antl save harmless <br />the City ol Everett Irom any ana all claims lor tlamages. costs. <br />eepenses, or Wuses ol action ihat mdy anse because of mslallabon <br />antl maintena�ce ol Ihe improvemenl pr other nghl-ol-way use <br />herelo aDPlied lor antl lonher agmes �o remove same upon no1¢c <br />Imm IhC Ciiy anh IO ropl.,Ce pu�hc pr00criy tlamagCtl �hcreby <br />�Y� [� / �1 �Ltl.lti <br />S�GNNtUIiE OF APVIICANi , <br />.SIvCX� CrJEL'L-l�ff�v !�/s� 1� <br />AOpRE55 - <br />�uF_ �i�T7" j�z a 3 <br />CILY 214 <br />�1�3- 7/G / <br />TELkPMONE N11610ER AIifRNRiC <br />`�9 -8U— - — <br />�•nrl ' ' <br />� <br />