Laserfiche WebLink
-i <br />, APPLICATION FOR RIGHT-UF-WAY USE PERMIT <br />Type or print clearly wi�� ink <br />PRESS HARD - YOU AFE hIAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WpSHINGTON <br />APPLICANT (UNDERSIGNED) ANO FIRM C��RESENTED, IF ANY: ���'0'�% <br />PERMIT NO.� <br />HEREBY APP�IES FOR PERMISSION i O C^ �N �•JT,G �Z S�7— ��p��� �' �/_ 1 <br />GCJ <br />AT THE FOLLOWING LOCATION__ S% 3 2 S O �( J7 CI �(�` <br />GRA ING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />.�%/3/79�`�2' <br />� �►t.Ql��..Y-C�-�c''', ti.. � / � �� ' .0 ��t <br />/__CJ'�2L' . �/vp�l.n� <br />b/� <br />t-� �.c s c � ,;. v.o �... <br />h o 1 L�' Go �� -iz.l z <br />ln-KY. S <br />,u—�LF%�J <br />� occ��; <br />�,2S �Ll'f <br />u �ue.r � r- i v 'e <br />�r � <br />�Piv��dh N9 wG.. � �o�..,l� ,2ve� <br />�e ac�.t �-1L.� —;- � � e a,s s P � e , �i p ,y � � <br />i� wa_5 �� s�i-c� l. � e� <br />PERMIi' IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL. iFOR iNSPECTION 259-887 1 <br />24 HnURS BEFORE CONSTRUCTION <br />� <br />� <br />CONSTRUCIIOtd/,1S 3UIL � <br />ORIVEWAY SECTION <br />� _—�� <br />+I" LIP � <br />L.30" � 30" <br />r <br />ihe un0ersigneC owner hereby agrecs to hald anC savc haimless <br />Ihe City ol Everell Irom any antl all cl0ims for tlamages, cosis. <br />expenses, or wuses ol acbon Ihat mBy an5e because ol mslallalion <br />antl main�pnan�e ol Ihe improvemeni or ol�er righLol�way use <br />�creto apphed lor and Iuri�er agrees lo remove same uoon nohce <br />��om Ihe Cily antl lo replrce pubhc propNrty dnmaqpd Ihereby, <br />.�� �b,«SL.,� <br />� �Ol,� - l// � P� i� <br />�o���ss <br />��C e�Tf-' wr1 _[�'�� <br />Ciiv Ziv <br />a�'� 7-SO�%� <br />1[lEPMO/M E �N`Uh ER / �U 1[NHR![ <br />�I�J�� 1 <br />OnLE <br />1978 <br />