Laserfiche WebLink
everen <br />Q APPLICATION FOR RI.aHT-OF-WAY USE PERM!T <br />� Type or pnnt cleady with �ne <br />_� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS . <br />EVERtTT. W :SHINGTON <br />APPLICANT (UNDERSIGNEO) AND FIRM REPRESENTED �F ANV: /��L <br />HEREBY APPLIF.S PO�R (PERMISSION 70_L, <br />1'��' G/J.�ti /C_, . � G` GJC" <br />�% �- � �,� <br />PERMIT NO.� <br />�" ��— <br />GP�: �.<> <br />/ J / // �[.L <br />AT THE FOLLOWING '.00ATION ��/ � � � "vvf"f � � �l�� �� �� <br />DRAWING (WORK TO BE DONE) OR TFjREE PLANS ATTAC' E0: <br />cL � <br />/7 � / �, r � / �.�s - <br />�l� a,,-�._� , . !�< <. .� � � � < <<� <br />i ,� . _ <br />� _. <br />� F°L! �✓vr�S � <br />Ii . �c�..���•.�.(�-� --a�i�--�� = �- - �- <br />i �� ��-�- � � <br />n <br />a— <br />i <br />� <br />��, ✓� W � � <br />��� <br />��r,�u�u.t�f � , <br />� <br />�. , / <br />4 ..L i .l�—...—.'�1 <br />� w` ,r <br />z � �yQ ���U-P�i�1��u= � � G//,-t' <br />�P �. <br />� ,�e� � ' <br />���, <br />PERMIT IS VALID FQR 60 1)AVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />C/lLL FOR INSPECTION 259-867 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER �� 'COMMUNILAliONS <br />,�,1\� C � <br />�;.� ,, .. <br />--r� � � ,�AFF�� <br />UNRINAGE � � <br />.-� `� ��� <br />WAiER /t��- PLANN�pIG <br />�I�r\� `, �� <br />c.accrx Y .rA '. / JTL <br />ccNsi nucri,�ni��s eui�r <br />DRIVEWAY SECTION <br />�tl'� lIP _�� <br />L� <br />I 30'� �30�� <br />'• _T' <br />The un4ersignuE o vner h�reby egrees to holtl and save �armless <br />Ihe L ly ol Everett Imm any and all cla� �s lor damages, wsts. <br />expenses. or wuses ol aclion fhal niay arise eecause ol mslallabon <br />and maintennnce ol ihe impiovement oi olher ngnFol-way use <br />�ereto applied br an0 �orl�er agrees to remore snme u0on nol¢e <br />Irum �he G:y ana lo replace pubLc proDP��Y Oamagea Iherepy. <br />��iv 1,...� 1� � �l e� <br />$I(iN4tURE OL APPUCPNI'/'/ /� / � / <br />/ /�T��WY^��Y�1 / <br />noo��ess <br />�v�r �7��,/��-S.�' 1��-0� <br />�,.. ���, <br />.>2S Z 3 e �s� <br />TE�fHON[ NUM� � � / ��� FL1lqNPiE <br />nFlf / <br />1978 <br />i <br />