Laserfiche WebLink
_ , <br />� <br /> _ <br /> everetl . <br />� � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES . <br />� PUBLIC WORKS , <br />� EVERETT,WASHINGTON PERMIT NO. � �4�`�? <br /> e° <br /> I APPLICANT(UNOERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> I <br /> HEREBY APPLIES FOR PERA7ISSION TO � � � - <br /> 1 <br /> r AT THE FOLLOWING LOCATION � "' � - <br /> 1 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �l.s a'��a�'t..� pr. bl� », a <br /> 1 <br /> e K����w� C �� �. S/w .., <br /> -�'j� t.<< I d ~ � <br /> I iY - SE. <br /> ✓ � L_��- e� <br /> ��G <br /> � <br /> DRIVEWAY SECTION <br /> �ERMIT IS VALID FOR 60 DAYS l� --� <br /> I I <br /> COPY OF THIS APPLICATION TO BE POSTED � i" LIP _�� , <br /> ON JOBSITE. L30" I _L3o" <br /> CALL FOR INSPECTION 259-881 1 r <br /> 24 HOURS BEFORE CONSTRUCTION The undersignetl owner hereby agrees lo holtl a�a s���ha�m�e�� <br /> ihe Ciry of Everelt Irom any antl all cleims lor damages, costs. <br /> enpenses.or causes of action Ihal may anse because ol inslallption <br /> anG maintenance ol Ihe impruvemeni or olher ri9hLol-way use <br /> M1ereto apphed b�and luriner agrees lo remove same upon nolice <br /> imm Ihe City an0 Io replace pubhc prOp���Y dT�nagea meieby. <br /> DEPARTMENT APPROVALS <br /> ypy�q GOMIAUNiLAINNS <br /> ORAINRGE IRAFFlC % <br /> � <br /> 1 <br /> \4AtER FLANNING S�GNR*URE Of APPLiC4NT � <br /> �' <br /> tiTREET RUORE55 <br /> ��, crtr � Zir / I <br /> +i�— /Z-// -�n _ � � <br /> APP OVED FO C NSTRUCTION Ont[ '� " .�' i : � <br /> TEIE�MONE NUMBER AUERHAif <br /> � � _ <br /> APPROVED AS CONSTRUCIED onrE nniE <br /> ___--__—__ ._ _ _. ___ —. __- ._ i�l7f� � <br /> . . . . . ... . ._ . .-.--� �_ , <br />