Laserfiche WebLink
_ ql �il I <br /> 1� � ��/� I <br /> jeverrtl � <br /> ' Q APPLICATIOI� FOR R�GHT-OF-WAY USE PERMIT <br /> I � Type or print clearly with mk <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT N0..�1��_— <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ — <br /> HEREBY APPLIES FOR PERMISSION TO � <br /> Ili, � � 'tB`.cJ <br /> I AT THE FOLLOWING WCATION �-� �iZ„ •y�Ty'CSr =�� I <br /> i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> I <br /> i <br /> i� <br /> I <br /> COtdllITIONS I <br /> i <br /> 1. �xistins driveway apron must be removed , and new curb installed . I <br /> � 2 . Curb cut cannot Ue greater than 20' for propoaed driveway. <br /> i <br /> � <br /> i I <br /> I i <br /> i _ y� \ LJ , ,t�� Applicant' s Signuture I <br /> la <br /> � ry ( <br /> �, �� �� � ����� �i <br /> I ��� � <br /> ! ��� ' ' <br /> , � <br /> �� <br /> , <br /> , <br /> DRIVEWAY SECTION � <br /> � PERIIMIT IS VALID FOR 60 DAXS {�,� —J il <br /> I � <br /> ', COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I 30" I _ � _�_30" <br /> 'I CALL FOR INSPECTION 259-881 1 I"— —' I <br /> � 24 HOURS BEFORE CONSTRUCTION Tnc untlersignetl ow��� hereby agrees to hold and save nnrmless I <br /> , Ihe CitV ol Evereu Irom any antl nll r.laims for tlamages. rosis. i <br /> �� e�penses.or causes of aetion Ihat may nnse hecause ul installation � <br /> ana md�nlenan[C ol Ihe imPrOve�nent oi olhei n9hl-ol�waj usr �� <br /> � �ereio[fDO��etl �Ur �ntl Iurihei aga4�5 lo remOve same upon no0co � <br /> � Irom Ihe Cny an0 Io reDlace pub��c property clnmagea Inere�y, , <br /> j DEPARTMENT APPROVALS ' <br /> i <br /> I � <br /> li sEwEi� coMniuNicarioHs � <br /> I I <br /> DRrIINAGE ��A«�� /// /� �I <br /> .(� C� . V ��O''r�/ � <br /> � W41ER PLANNING SiGNniU��E O�AVPIi � t � <br /> � ; i ; ; � - - � 9 .� GUQLn...-� �t ' <br /> I srREet � � , . � -�• � , , i nno�rp5s I� <br /> � ' _i __.G�c�GrJ� �o� <br /> � � „ : .. ir �I <br /> II r-- ., d��.. /r. �-- a,. �, <br /> C - F P 'U TRUCiION � E ,�S C' �' �l /�� I <br /> LELEI'nONE NUhIpF�� AliE11NAlE <br /> I A• '� � . ... .. . . ..� �' /'/ _ ���i <br /> � f V <br /> I APPROVED AS CONSiRUCTED �� , _ '� OrArE" n�*E / , <br /> '1' ,.:1 <br /> '. cc����S-�i�:.!rrri�,�r;:^„ !•��. ��t_-r ,�F -- --- �s7;. �' <br /> � � <br />