Laserfiche WebLink
everefl <br />e <br />APPLICATION FOR RIGHT-OF-WAY <br />� Type or pnnt clearly with ink <br />PRESS HARD - YOU ARE MAKINC COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON ' <br />USE PERMIT <br />PERMIT NO. �� LU�p <br />� <br />APPUCANT (UNDERSIGNED) AND PIR67 REPRESENTED. IF ANY: t `� " <br />HEFEBV APPLIES FOR PERMISSION TO C'C' �'^ `-'�-� G�Y � �' I� �YU� 4� <br />.�i'tOY � /!0! YIUW CeW.��C+� <br />AT THE FOILCWING LOCATION _ ��+ � U NDYT O✓l� <br />ORAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />.� <br />New <br />"—✓ v <br />J��w/ I — <br />'�y // � .. ��, L[iC/°.�6lLdGN"i'"'LI <br />L�«�''� <br />� � P. �J. /�-, I <br />��; � ��.��'� ���„/�� � <br />/� � <br />, ����� �_. <br />, ��- <br />_, <br />, �� <br />�� /; � <br />� w <br />� R�VE AY <br />�� <br />PERMIT IS VALID FOR 60 DAVS <br />C7PY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPEC?r10N 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />pRAINAGE <br />DEPARTMENT APPROVALS <br />COMMUNiC/ TIDNS <br />iFPFFIC — <br />µ,�JEp iF RNNiNG <br />� �/ <br />' [l i��� .1� � ' <br />\ . <br />SiR[ET � `�� �, �` � ^ � <br />yl <br />% � ti. •�� •,• � �_ � <br />/ � � <br />; ���� i � _�re <br />p� ' H C N` Cj! .� <br />�'� ���.� " � ; ''_L <br />/ �r� � � '�I A � �� 1 <br />\ YY� i�_•.�`t_' �.�_ <br />n�r er,ovc„- � coNt��7Y,Fn o�,e <br />iJ1Gd% �� <br />��� <br />� ��w� � <br />, �, <br />���� � <br />SECTI` ON' I� <br />��_ +I" LIP � <br />�30�� �30 _J <br />_� <br />The un4ersigneA owner hereby agrees to hold an0 save harmless <br />Ine City of Everetl Irom any and all claims lor tlamaorts. costs. <br />e.0enses. or cause� oi action ihat may anse because ol ms�allal�on <br />an0 maintenance ul Ine improvemen� o' olher ughl-obway �se <br />hereto apP�ied �or Tna Iurihei agrees �o remove same upnn not¢e <br />Irom the Ciiy and to re0lace publ¢ prcperty aamayea Ihere�y. <br />/ <br />SIGNA tlli( Of APPUCANI <br />� �� �� / V� <br />AODRE55 � �' �D I <br />� <br />� �ti? � _ <br />c�*r zir <br />`J S�l- (�OS E� <br />TElCP110N[ NUAI[]ER ALIE�NSL[ <br />� �— �� --- <br />��rc <br />