Laserfiche WebLink
, <br />� <br /> f <br />� <br />( - <br /> ' _ ,.11 , _ '_.-`� I <br /> everetl <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly with mk <br /> _' . PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETi.WASHINGTON PERMIT NO. � � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, If ANY: <br /> HEREBY APPLIES FUR PERMISSION TO— <br /> AT THE FOLLOWING LOCATION � I� 7 I�I�DI F S f � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �, <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � -� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. �� 1�� <br /> CALL FOR IN8PECTION 239-861 1 �� � f`- <br /> I 24 HOURS BEFORE CONSTRUCTION �` <br /> The untlersignetl owner hereby egrees to hold and seva hermless 1 <br /> Ihe City ol Everelt Irom any and all cleims lor damages, cas�s. <br /> eypenses.or causes ol action Ihat may arise beceuse ol inslellnlion <br /> an0 mainienanre ol Ihe improvemenl or ot�er ng�l-of-way use <br /> bereio applieG lor an0 �url�er tgrees to remOve Same oDon noI¢e <br /> Irom Ihe Cily end Io replace publ¢ property damagea Iherehy. <br /> DEPARTMENT APPROVALS <br /> � <br /> SEWER COA�MUNILATiONS <br /> pRAINAGE TRAFRC <br /> WRTER PLRNNING SIGNRTURE OF APPLICANi � � ����-^"'"�/ <br /> iG.� y /�,...�-�---� <br /> STREET /ODRE55 <br /> � , � • _ � . �'' S�I�� — <br /> ,�. <br /> P��,` � s �'� U � CITY 21P <br /> A OVED FOR +sr cnaN i oA.E . .'� '' �ts�-//CG <br /> LEIEPMONE NUMHEA ALTERN�TE <br /> _ � � ; ,�J . � � <br /> I APP D CON U TED .. . n�*[ —_ – . nn.[ _ <br /> T I_ <br />