Laserfiche WebLink
� <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />�' Type or prinl cMuty with �ak <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHMlGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION <br />DRAWINO (WORK TO SE DONE) OR THREE PLANS ATTACHED: <br />� <br />PERMIT NO. "� � <br />w � t� <br />U,,�-� �o�M�e o� <br />s�,�da�k ���1��..� <br />�lo �,� � <br />�/� P�,_/` <br />�K __.._--- <br />__- <br />�r _�an <br />Cro w ^ .�--- - .. _ <br />1 <br />�� O~ � �G� <br />� 0� <br />, `� �a'/'o,t �' �'''� �� �{ r �Q � /I r e o n <br />r�" ,� .� � <br />i jpc <br />�J <br />Cr0"'" ��� <br />PPeRMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. -- - <br />�CALL FOR INSPECTIOl�1 269-961 7 <br />24 HOURS BEFORE CONSTRUCTION <br />���PARTMENT APPROVALS <br />5[WER <br />� <br />DRAINRGE <br />WqTER <br />COMMUNILATIONS <br />PLANNING <br />I t [ � <br />STREET I' � I �- . .. . . ' . . <br />('/�%i�.,EJ.n7l 'Gl�Z�80 26's` -: T"�'� ` 7 <br />APPR�VED FO CONSTRUCiION L J� ) 7j r <br />......... .. .........TELEPHON[NUA1Bj R • PLLERNPiE <br />T'�3R;:•3 �G Yf('1 /U�/3/8D _ <br />APPROVEDASCONSTRUCTED onrE �i�,�� ���;���� �,�������� o�TE <br />INITIAL INSPECTION REQUESTED Fce 1g7g <br />s <br />v.c.iR..ce a+. <br />6H S�Q� <br />DRIVEWAY SECTION <br />�,< ; <br />� � <br />�— �I" LIP <br />� <br />��..30 aT. 'T'30 '1 <br />T�e unAersignetl owner hereby egrees to hold end aeve �ermless <br />�he City oi Evere�l Irom any entl all cleim� for demeges. cosis. <br />eapenses. or causes oi eclion I�et may ar�se because ol �nstallation <br />nne maintenance ol I�e improvemenl or other ng�l-ol-way use <br />here�o apP��ed lor P�tl luriher agrees �o remove same upon noUce <br />Irorc ihe City antl lo re0�ace pubh: Omperty aemngetl Ibereby. <br />� <br />� <br />� <br />