Laserfiche WebLink
eVe�en AppLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� 1 ype or print cleady wi�h mk <br />PRESS MARD - YOU AAE MAKING COPIES <br />PUBUCwOaKs PERMIT NO. �—a�-- <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSICaNED) AND FIRM REPRESENTED. �F ANV: <br />HEREBY APPLIES FOR PERMISSION TO NS %7ICL D�2/UHW/1` - <br />AT THE FOLLOWING LOCATION .3O/9 — 2� �Sf ve�e' ��'� J8�0/ — <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />- � , �>,�,.,�a,�. � n�as,— <br />/-I�J•� /%-12,l,tiJous :��D:'./�ilc'!_ /a��.rTiN/ C-' I <br />i�� f2:'.'.I�ilrii�//1�Ei'—�iA—'�:`�i TTi �!r',,C�C lJc�9.rs !iJsi�dCtlx'�s <br />S.)5i�.:K.—�f./1/ �' �j�`YJ - <br />✓ <br />PERMIT 6S VALICI FOR 60 DAYS <br />COPY OF Tt11S APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALI. FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DEPARTMENT APPROVALS <br />COMMUNICailONS <br />O�PINAG[ 1MffIC <br />I 5 1un i l � I-'' _ <br />WATER I �l 2J �I �PAA �ING <br />V � (r 1 <br />STREET 1be, ,, q _� ; <br />��. ,���T z-�s-g/ <br />APPROVEDF CO4-S R CTION onie <br />-- ��-�-�'/ <br />4PP OVED AS CONSTP CTED � oAtE <br />� V <br />CONSTRUCTION/AS EiU1LT <br />DRIVEWAY SECTION <br />— I" �IP _�1 <br />r;o � �30„ <br />The unCerr' -d owner �ereby agrees lo hold en0 seve �armle55 <br />U�e Ci1y e ' eIi Irom nny antl all cleims br damnges. costs. <br />erpenses. � ss ol nclion Ihat may arise becausP, of mstallabcn <br />ano mair �� ol t�e impiovemem or olner righl-ol-way us� <br />M1ereic a� . n � nnd lurl�er TareeS lo romove same upon nol¢e <br />Irom Inu ..<i•d to replacn puhlic property aamagetl Ihereby. <br />.�� � � . \ '- J <br />���� � <br />SIGNPIU�E Of <PPLICANI � <br />�(7(p /� i� USL. �.•r ov0 S Z' — <br />AOOaE55 ( <br />��� L 1ZC \� C� 1 ZL� y <br />CIiY Z�P <br />1J�.: `JO/U 7�,..�i } 7��� <br />L[LEPHON[N1lM Eq ILT[IiNPiE <br />oa� y a ' _ --- <br />1976 <br />