Laserfiche WebLink
i - - <br /> ��«<� <br /> • � APPLICATION FaR RIGHT-OF-WAY USE PERMIT <br /> � Type or print cleatly wl�h ink <br /> PRESS HARD - YOU ARE MAKiNG COPIES <br /> PUB�IC WORKS � c� <br /> EVERETT,WASHINGTON PERMIT NO.�d'�/3yo� <br /> AFPLICANT (UNDERSIGNED) AND FIRM REPRESENTED,IF A'vlY: <br /> HEREBY APPLIES FOR PERMISSION TO — <br /> � �� 2 0 l� • S 1 �V e ( �,�c. '��, I <br /> AT THE FOLLOWING LOCATION . I <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> C'ONOii iUN 5 <br /> �T /�c'.PTion/ C'l�" Ti/t Odiu.:�'•I•�S lJ�;f/.N Tr,� <br /> f�udCiC .�i�iii Ur G✓ily ./7�uS: /3_` /�.�I�i.U, <br /> /�� �p ' S�=��/�.�/i�cnl A�us: !3E in�J.��,—.�li.vz> <br /> /�lfifJ.i�fil� J�Il�•`W�kfS . <br /> /'OlJ�.� Ui' /J�GIN�cI ,f;� q%Ui��iO, <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ---� <br /> COPY OF THIS APPLICATION TO BE POSTED � + i" LIP --�� <br /> ON JOBSITE. I 30„�� �30" <br /> CALL FOR INSPECTION 259-881 1 t" 'i' <br /> 24 HOURS BErORE CONSTRUCTION T�e untlersigneG owner hereby egrecs to �oIE and save harmless <br /> ine City of EverM� Irom any ana All cleims br damnges. costs. <br /> e�Censes.or cnuses o�action ihat may arise�ecause ol installBlion <br /> anA marnhmance oi IM1e impmvement or oiher righ4ol-way use <br /> he�elo appLcd loi and furfier agrees lo remove Same upon no�¢e <br /> Irom �he C��y and to re0lare pubhc pmpe��y axmage0 Iliercby <br /> IDEPARTMENT APPROVALS <br /> SEWEq COMM�NICFtIONS <br /> pRAINRGE TPPFfIC /n�J'- �� /� � <br /> _�iiiidG�^'Y� (��i����O.��t� <br /> WATER I : � � .'�'IANMiNG SIGNRiURE Of APPIi M / // <br /> �� � '_ , ; � ��y/(/ ��'-�+" �� f�i-. <br /> srnEEr � .. AooaEss <br /> �� �,�-�� �.FlG�/ <br /> , _ [� �.P <br /> . 4nrj�,�1VlL Ir CON$TqUCI� ���0 Qiv_ _.� � —� <7 <br /> �^ _ <br />