Laserfiche WebLink
7,1 <br />W <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />-� Type or print clearly with ink <br />PRESS HARD — YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHING! ON �TPERMIT NO. 7 9 1' E' 3 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY TIOVAIllialli�I1T�T'�}T����T I -� <br />HEREBY APPLIES FOR PERMISSION TO - -/� S� �i./CT I, �om r � M& � t l�LA-7 ACY <br />AT THE FOLLOWING LOCATION 470 y 4 / /70 E WOO G1 0 r, <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />Bet Pj-A.IPs A6AA6 ,-,D Da Tab <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-661 1 <br />24 HOURS BEFORE CONSTRUCTION <br />STREET <br />DEPARTMENT APPROVALS <br />DRIVEWAY SECTION <br />T <br />LIP <br />The undersigned owner hereby agrees to ho1E and save harmless <br />the City of Everett from any and all claims for damages, costs. <br />asperses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other righl-ol-way use <br />hereto applied lot and lurlher agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />Twy <br />TELEPHONE NUMBER <br />_ <br />lALTERNATE <br />BATE <br />8 EIAED <br />CONSTRUCTION/AS BUILT FEE 1978 <br />