Laserfiche WebLink
everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleany with ink <br />PRESS HARD - YOU ARE MAKING COPIES J � <br />PUBLIC WORKS PERMIT NO. 8� <br />EVERETT. WASHINGTOt�t ., <br />' f�oD ��9ivKHf�/is.� � - <br />ApPLICANT (UK:DERSIGNED) AN� FIRM REPRESENTED, IF ANY:_, <br />�? � %/%�D'�-� Lf//r//% — <br />HEREBV APPLIES FOR PERMISSION <br />2��7, � /J9.LLl� %%�/�3�L% �✓T.�/Ll�LU�i <br />AT THE FOLLOWING LOCATION��J"'� ���� � v� <br />DRAWING (WORK TO BE DOtdE) OR THREE PLANS ATTACHtD: <br />I. �AJe T��AT <br />;Z , o. �/� <br />poR,T�D►:J o� <br />PERMIT 1� VALID �OR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JQ�BSITE. <br />CALL POq IMSPECTIQN 259-BS t i <br />24 HOURS BEFORE I:ONSTRUCTION <br />pRfINFGE <br />DEPARTMENT APPROVALS <br />COMMUWC/T�ONS <br />P�ANNING <br />- � / 3i/gl <br />zHE <br />�R��CwAY � u �F16 <br />DRIVEWQY SEC(ION <br />(� �I'� LIP � <br />i � <br />30�� 30 <br />The undersignetl owner hereby agrees to holE end save harmless <br />Ihe Ciiy o� Evere�i Irom any and ail Waims lor Eame9es. costs. <br />expenses. or causes of action lhat may arise because ol mstallation <br />antl mainlenance o� Ine impmvement or olher righPo'-way we <br />bereto app�ied lor antl IurUer agrees lo remove same upon nobce <br />Irmn Ihe Cily antl to replace publ¢ P�operty tlamaged IhereDy. <br />/ /iS�I/ ��a� —// _ <br />SiGH��iF. "P����y {�.��/�/A\ �) /J� <br />j ��� / //��LJ�✓�%�� <br />AO�RE55 <br />�v�'�r.�i�", 9�hzU�__ <br />��,. <br />- .7�2,�/ ,,�,,, <br />.� ., .� . <br />