Laserfiche WebLink
everen <br />e <br />APPLICATION FOR RIGNT-OF-WAY USE PERMiT <br />Type or print clearly wrth ink <br />PRESS IiARD - YOU ARE MAKING COPIE,"i <br />PERMIT �O._�v/� � _ <br />PUBLIC VJORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FUR PERMISSION <br />AT THE FOLLOWING LOCATION <br />�-5 �6 /-� -� /�oc �r �n��!/ .�Uc <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� " „ � �'--�-Ct..(�t,� t �� <br />� //�� �� <br />�`_� ,-fi.(/1, �; t �i,.- � �;.g..�� t_,�l.i..c�{u%C�✓ ���L .'l�-������`���v :Y_ <br />J.. <br />/�' ��'� . <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE PUSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORRINRGE <br />DEPARTMENT APPROVALS <br />GOMMUNIGTIONS <br />iRAFFlC <br />PIANNING <br />STFEET .. <br />�1 / ( <br />� �--^ PX�4_ c:� ' r�- � /� �/ <br />P O � FOR NSi UC �ION DnTE <br />` L� �� � � <br />APPR AS NSTRUCTED D/+lE <br />consrRucrioNias Bui�r <br />DRIVEWAY SECTION <br />� � <br />+I" LIP <br />�_ � <br />�30'�f _f_30"� <br />� -r- <br />T�e untlersigned owrer hereby ayrees 10 ho10 an0 save harmless <br />ihe City ol Everett I.�m any and ell claims br tlemages. cosis, <br />eapenses. or causes tl aclion ihat mey ense because ol installabon <br />pna maintenance ol ihe improvement or olhe. ngnpot.way use <br />�ere�o apphea lor and lurther agrees to remove same upon nolice <br />iwm the f,ily an0 �o re0lace pubbc pro0eity damaged Ihere�y, <br />i���C`� • P �`�-'-e�r�� <br />SIGNpA�TURE UF APP�ILr1Nt <br />I J L U i J V G��`� JL� ��-I �/' <br />�OURLS'S <br />/= � � . � �— , � � y �� � i <br />CITv p;p <br />s- y- 1 a 5- �/ <br />TElCPNO E NUMB R q�TERNAIC <br />/ ii 7 <br />n e _ <br />1978 <br />