Laserfiche WebLink
i - - ._.. <br /> ���.�„ <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ' �� Type or print clearly with Ink <br /> PflESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. � Z <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> I 'Fv�_ �iZoP oSC-� C �Z ��E �6�Si. • <br /> I AT THE FOLLOWING LOCATION_. I ) Z—I O �� M P�L Jl � � <br /> � <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> � � <br /> � <br /> � <br /> � <br /> . <br /> / I <br /> ,�� � <br /> � . DRIVEWAY SECTION � <br /> � <br /> ! PERMIT IS VALID FOR 60 DAYS � --.i <br /> li COPY OF THIS APPLICATION TO B�: POSTED � � i" �ip <br /> , ON JOBSITE. �30'� �30" I <br /> ; CALL FOR INSPECTION 259-661 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigneA owner hereby agreea to holtl an0 seve harmless <br /> ` the Ci�y of Everett 1wm any anU all claims lo� Oamages. costs. <br /> _ eapenses.or causes o�action Ihat may anse because ol�nsinllation . <br /> � ana ma�nlenance of Ihe improvemenl or othw r�ghl�obway use <br /> y herelo ap0lieA lor ana �w��er agrces�o wmovr same upOn nolicc � <br /> III Irom ihc Ciiy ano to �cV�Tcr public Oropeily damagpd IM1c�eby, I <br /> � DEPARTME�T APPROVALS <br /> ' � <br /> I $EWER GOMMUNICATiONS ' � I <br /> , i: �'���� 1 <br /> i;' 3c.v,z s � <br /> pFAIlUGE 1RAFFlC / y`'. : : � <br /> �� �� . � _. � .�� � ' ��� �I <br /> � I •� ! .� __�� \.' _ <br /> i WATEP PLANNiNG SiGNATUREOFAVOLit.av�� . "ZJULL�rC�L� <br /> � ,c��UL Cun� <br /> � SiReE� nonnEs��� � � �'�.y,� ��a ZG;��!i <br /> �. <br /> I Il 1 <br /> ' / cn� - � . - nr � <br /> /�.�r:�>/l.d. �l.-�1— �- �' �� <br /> �� PROVED FOP GO STR C�iON onrE <br /> ���/ / Al1LRNPlE II <br /> V �// 1ClE�'NOHE NUMBE�i <br /> � ,�a��.;�� ��`� _ � <br /> i n o n� co Srn nnie c,^�� <br /> � "._�!:TRUCTION/i1S [3UILT � - -- - -- 197F3 <br />