Laserfiche WebLink
I .C�iL ✓,,�dY-�- <br />Le APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with Ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED( AND FIRM REP SS�I� �,�FA ANY: <br />HEREBY APPLIES FOR PERMISSION TOVwt� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />FAF <br />PERMIT NO.247 v;'t <br />kx vl sue, <br />ic <br />'C 01�4 1-6 <br />wookc +r15�V�C io��5c7� ��. �����N�el� <br />Gj�ei,q <br />PERMIT IS VALID FOR 60 DAYS <br />COI" ' r THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-661 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />APPROVED AS CONSTRUCTED DALE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all clean.: for damages, costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use <br />hereto applied tot and further agrees to remove same upon notice <br />from the City and to replace public property damaged thereby, <br />704 - W7 zod 10 <br />TELEPHONE NUMBER ALtERNPtE <br />DALE 1v <br />—G� <br />TEE 1978 <br />