Laserfiche WebLink
!V!f!fl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType or print clearly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS ` <br />EVERETT, WASHINGT'JN PERMIT /N�O.��� <br />APPL�CANT (UNOERSIGNED) AND FIRM REPRESENTED, IF ANV: /�/�/�'S �/����j�� <br />HEREBY APPLIES FOR PERtiIISS10N TO <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) <br />�> _ <br />0 <br />�� 73 � ��. <br />PLANS ATTACHED: <br />� � � � � <br />� <br />�; _ � !.� .,� � _ –� �-.� ��i.r.;,. �_'� �( S��c._- .. � –, <br />� r i(-,�,c�., �� -�� ,,;: � �i �..-� ,�r �_. ;' <br />� _��,�����.-. � _��,I�i <br />� � <br />� k ' ,, .' '� ' I c.,.. _ <br />/�'1.-,�.ut.u--r"f-d'r �.�1' � <br />PERMIT IS VAL101 FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR 1�lSPECTIOK 259-881 S <br />24 HOURS BEFORE CONSTRUCTION <br />I <br />la,El� <br />i.��niNAGE <br />e..G [n <br />DEPARTMENT APPROVALS <br />� COlIMUNiCnii0N5 <br />TRRh IC <br />� vLAryryMG �- <br />iN6[i C� ��t_- . ^r1i <br />• V�` '����_ � <br />��.J�.. c �/�7 � ' <br />APPROVED POfl CONSTRUCTION ' �n E <br />APPROVED AS CONSTRUCTED �niC <br />. . .... ., _ ; f��'Y <br />�, � ;: <br />�7 �.� �l <br />, <br />����(� �l.(1�./.. <br />DRIVEWAY SECTION <br />I�-- _. �' <br />I" LIP <br />�30�..—__ —�3��1 <br />The undersigned owner nere�y agrees •��hain �i�� save naimirss <br />mc Gty ol Everell hom any ond all claims lor tlamages. custs <br />���pensrs. o� emrses ol acbon tnat may arise �ecwse ol insiTnat�on <br />anJ mai.tlondncr pl Ibc imP•orcmrnl or olM1er ripM1Pol-�s,vy . <br />he�C10 aVt�lu�J Inr am1 Iw�lir� aqwr. lo q.� zdmr ul cn �•uL� rv <br />IrOnt �I'�, 1.1� Aoil ��� � et • t'., q� r�r�Y �dnLtilr.0 IM1eirh'. <br />//�si/4 y ( c/.l.l6Ef.11��. <br />SiG���O��l iC����� <br />400{it SS <br />.���G,�7- ���'�9-� <br />��r. ,,, <br />,�;� <br />��J �� <br />IEIEPHONC N 18fR �/�/�� ALIENN�IiE <br />� / <br />onte ' _ <br />�c <br />1978 <br />