Laserfiche WebLink
. , <br /> ,- . , _ , ti. , . - <br /> � <br /> ' e'veieM <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly with ink <br /> PRESS I1ARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS .y�/�/ � <br /> EVERETT.WASHINGTON � PERMIT NO.� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV: TF�L` �/�Y/(/4l.tL� Cv , <br /> HEREBV APPLIES FOR PERMISSION TO ���3 T!i L C, o�v � Y d C) � C`l'^v�'a-L R/1-/N/PI✓� - <br /> r.c.c�l- d�=•— � [ L �= Y <br /> AT THE FOLIOWING LOCATION I o I I ��i✓� J T �V �"'� `� // r�a <br /> DRAWING (WORK TO 8E DONE) OR T RE P NS ATTACHED: <br /> ��-�-� �� ��/� <br /> , � <br /> � .;� �� � <br /> , ,s: . <br /> , � � � � <br /> � . . <br /> �,' st+ s'y�,�� � � �. <br /> . k,_.,. <br /> �� i` `" 3'`z / <br /> � , ' ' I <br /> .i,i!• , ; �..;,, <br /> i.:�' <br /> :�. <br /> � � � � � � � � <br /> � ��C 1� �9�8 <br /> �....................................................._.._... <br /> DR i v E�QIiYSFJ�T B�RETT <br /> Public Works Dept, <br /> . PERMIT Is VALID FOR 60 DAYS � � <br /> COPY OF TH18 APPLICATION TO BE POSTED �� �i^ ��p <br /> ON JOBSITE. + I <br /> C�LL FOR INSPECTION 2a9-88.1 1 I�3O�i' �T�3o'�i <br /> 24 HOliR3 B�FORE CONSTRUCTION ' T,,,urrdereigned owner MreDy egreea lo�oIC anE aeve humlass <br /> the City ol Everalt Irom eny enE sll clelms lor Oempa', cosle. <br /> � e.penses.or c�uxa ol aclion thet may ense Decause ol inetell�bon <br /> anC mainlen�n[e of Ihe Impmvemen� or oth2i ngh�-obway u:x • <br /> �ereto apPheE lor enA lurlher agrees to�emove same upon not¢e <br /> Irom Ine Cily ana to revlace ou0l��c propenY eamagea Ineraoy. <br /> DEPARTMENT APPROVALS- <br /> r-'�� . <br /> SE W ER GOMMUNICR 1 iONS <br /> DR�IN�OE TRid „ � �. � <br /> � �.1�.� <br /> W�TER P�RNNING Of AVPLiC�NI <br /> r�a c;d,. 304 C� .. <br /> STFEET AOORE55 <br /> rv.-r.r r�" /if/Q '�d'dG 3 <br /> ����+ CITY ZIP <br /> �{�� 1� 1 P! D E� �jJ' I/�T <br /> �ELEPHONE NUMBER �UERNAIE � <br /> ,���1 `' `% <br /> - - - - - -- - -' �-- - - <br /> ,,�,��»��,��.-.- �,�,- ��.. _ � <br />