Laserfiche WebLink
,__._._. <br /> . <br /> crtvctl <br /> APPLICATION FOR RIGHT-OF•WAY USE ('EflMIT � <br /> � 1034u <br /> �. <br /> CITY fiNGWE[HS <br /> EVERGTT, WnSHINGTOH 7 � i � 7 <br /> PERMIT N0. <br /> Rie Undcrsipnr.d '�1[1��L� q3�(,,�K <br /> iereby applics fcr permissiun to c,,, /y���ty G— a Z$/ <br /> --- f _.C�,✓.��z -� n��„� <br /> at the lollowing lo�_ation�/1� �ii�y(') <br /> IKETCH <br /> Work to bc�onc� <br /> ScF A;��?�F�o i <br /> � � <br /> r� , /, • . <br /> , � . <br /> �Ll ��� �Oc.��i�i/ �� fj � S' 1/�i ��e..�� /1.�._.i�iF��a <br /> . <br /> , `� —r �U-.n�r'i�l'ij/ !1.•�l��iyz� OUet ,��-�� .dP�3ii,d /,�o�sE , <br /> U <br /> � �yi�leTe ro d� � '' Y�,�.� fi�irv 1:,._1�.� fo ��, <br /> / � <br /> � �d����oha/ /���Uy1i/ of Cw7- � �lf/,j/ /,�.�vP �-t� tle f,�Cr.r� <br /> i <br /> pu 7` �/`.��v�ic�o-1c <<'�nulS . I <br /> ' � ��,..� e �'..�r�v._�is�G�?/ J oi�-•y`' �-./f�v��� .j>%i��ec� <_�-/v <br /> � J � � ' " I <br /> O ��--{ i�oa./ve �I.v�%/ �f.,,-YG �"O ,De .n�.d,J.i JYt� fo f�i'>JiS�/ <br /> �J7c h=�'e � J.�_<�� . <br /> � �fp�;L)7k'/ !XUl�eI ljt�tS rl+�.�='1°'R/ %f�/fi/.'"- %f/....7si c�'/Y�i�.f' / S <br /> ( / <br /> f7l�.f.f�tt/e,�j in/ �e_>u/ fj��i/ .sGG�/�J�L�' <br /> % <br /> ���, ��� <br /> DRIVCwAY SECTiON Thc undersigned o�vner herc6y a9rces to hold and � <br /> NO SCAIE— save harmless the City of Evcrr.tt from any and all � <br /> ---`i � <br /> _ claims for dama9es that may arise because of mzWlla• � <br /> �____���� 1_!P.__--� tion and maintenance of thc improvement herero ' <br /> 30';�_ . � _ �jp� applicd for and furthcr a9rce5 to remove same upon � <br /> � noticc from thc Ciry and to replacc public properry � <br /> damaged tl�cr by., <br /> .h1.-� �f:�t"u .,.. � ��,�,�.,� \ <br /> Signature o(Ap�;lica[ <br /> � <br /> PYOfTHI:;AfPLICATIONTO , 1//� ��'��l `� ' <br /> Address <br /> POSTGD pN Ji)IiS�T[. I � S 1 � �Sd'�' <br /> LL LNGINC Fi IiIMG D[FT. 25p p311 Tcicphonc Numt�er <br /> rIOURS �GFpkG CONSTRUCI'IOWI 8_//— 7 ] <br /> — -- — --' Datc �y v <br /> eCK LIST1 <br /> / v � <br /> or Val��c I Fee , <br /> ina�c Dept, Approvals <br /> h& Guticr '� . <br /> walk <br /> Enginccrs �' .��,f�G�.,.,� <br /> Wate� <br /> Svicet <br /> ecror's Siynaturc Communications <br /> Traffic <br /> Planning <br /> irks --� -- — — <br /> . Ori9in,I tu Cusinmci <br /> 1CupytuFilr i ' � �� ;� `, _ <br /> 1 Capy li� �n�,prc.lui Appiuvrd bY "—'_' ___"'______' �I <br />