Laserfiche WebLink
u <br />everen <br />� APPLICATION FOR RIGHT-OF-WAY U�E PERMIT <br />Type or print clearly wilh ink <br />PFiESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON ` � T� , PE MIT NO. ���� ��r= <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: V�� � �1'�'� <br />HEREBY APPLIES FOR PERMISSION TO `,C'ti�TK �-'� � r(�UT �P�E'� � r�e�c e <br />�li.o►��- �,�e r,�fl �..Y � ti C rr�r �'�iS/7�E'M-r � r ic� iN f3�r1,ND , <br />AT THE FOLLOWING LOCATION _ I�-/ � � U�� 1 L I�O �k+U`� e <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�'}')�t�: r�7 t:C+ I�1�lID <br />Sine cun�-K (� � <br />�oTTC�D �.1 V 2 <br />r �,'o �. <br />�71u� �a:. v <br />_3r�" � <br />C� r�� �� <br />1`- irc„r-_2. <br />�� n <br />f�nsem��*' <br />, c c"�'� <br />PERMIT IS VALID POR 60 De" <br />COPY OF 'fHIS APPLICAT��^' ro BE POSTED <br />Old JO�BSITE. <br />CAIL24 HO R BE ORE CONS RUCTION '� <br />DEPARTMENT APPROVALS <br />�� <br />SEWEA <br />ORAINAGE <br />-�� <br />WATER <br />COMMUNICATi0N5 <br />TRqFFIG <br />PLANNING <br />5»EEi <br />, � , --- S' G _ <br />�� DATE <br />qppRpVEDF CONSTR CTION <br />pPPROVED AS CONSTFUCTED <br />_ .... „�,T-- <br />�jEFERENCE COPY <br />DRIVEWQY SECTION <br />I j I'. LIP <br />30 <br />30" <br />The untlerslgned owner Imreby uBrees to hdC entl ssvc harm�ess <br />the City ol Everelt Irom uny and ell cla�m5 �or di��nges. tosls <br />expenses. or ceuses o� atlion �ovemenl os obh�� u°9hi ol-wnly u9e <br />�ntl ma�Nenn�ce ol Ina imp <br />• hereto apPhetl b� and lunner og�ees to remvve sam� upon notme <br />IrOm Iha City 0n4 to replace F�bl¢ p�operty tlamaged Ine�eby. <br />� <br />i <br />%' �. <br />�ai! lG � -- <br />`'1f� y �/� 6,�� <br />ALLERNAiE <br />.E�ENrO; F, H�MOE? ..• ) <br />� <br />c� l <br />1978 <br />Fee _ <br />