Laserfiche WebLink
. m�s.'us�i�,���r�vmt� <br /> 1 <br /> 1 <br /> _ _,� • <br /> � �� f� C`/i v33 i , <br /> I��i iverett ^ _ � � � <br /> ; � APPo..IC�TiQ�1 F .riR Rl.�HT OF-W�►Y iJS� F�RMI <br /> Type or print clearry with mk � <br /> ' PRESS HARD - 'IOU ARE MAkING COPIES <br /> i PUBLIC WORKS — <br /> EVERETT,WASHINGION PFRMIT NO._���C 7 <br /> �[1, � I i <br /> '�'�' �1 "r I�V1 � <br /> � AFPLICA�IT NNDERSIGNED) AND FIRM HEPRESFNTEL� IF ANY;c1.C1�Y'_ <br /> I /i0C 1 � � ��?r�nr��e� 1 �1"i`11r�'xl �-- ��� 1 <br /> HtREBY APPLIES FJR PERINISSION TC. <br /> � � <br /> /U/5-.�� ��sf' _F�eref/, GJ�. 9��or — I `l <br /> AT THE FOLLOWING I.GCATION - <br /> I <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> I � � <br /> ,�%� � � �i <br /> � - � �t; :, _�� ,�. , . ..� � <br /> �%.c-.�u ,,t��.���"� ' �le:Lsrw� -a� <br /> /ze�cszs�eE� -�Lt.-.��.. ` �L-�.cv`�c-GLPf!/> �i , <br /> � I..F�-C.� -vY <br /> ./ /� i I <br /> , . �r��� � > � ' <br /> ��.(rf�-�bli', <br /> �1 � �u�� d-u��-�-���- , � , � ; <br /> �� � �,��..�� �.�;r�T�� I <br /> � , - „� � <br /> �..�� �-� .��-..�! ' <br /> I a�.t�r-�- ;� ��u�. � � <br /> � � <br /> �-'�-�-�2' '� ��. �1 , we� � �. LP � il <br /> ,i <br /> '� ` ,. <br /> � ,(>--r �-Y ��y, il I <br /> � <br /> 'I � <br /> � , <br /> ' � � <br /> i i <br /> i ' <br /> � <br /> ' DRIVEWAY SECTION <br /> I <br /> PERMIT IS �E4LID �OR 60 D41YS �.— --� �I <br /> i ! <br /> I Cqpy rJ� ZHIS APPLICATIOIV TO BE POSTED i � i" uP � <br /> C1N JOBSITE. �30'�� r 30���j I <br /> CALL FOR EN�PEGTI�9N 2��'-SB 1 1 I <br /> 24 HQUFIS BEFORE CONSTRUCTION IG undersignetl owner hereby agmes Io hold and save harmless � <br /> Ihe .ily of Everel�'. Irom any antl all claims lor damages, cosis, i <br /> erpenses,or causes o�action Ihai may arise because ol inslallation <br /> and m:.mtenance of lhe improvemeni or olher iight�ol-way ure I <br /> ��� herelo appbetl lor and lurther a9rees to remove same u0on not¢e � <br /> � irom Ihe Ci�y antl �o replace puDlic proDeny Oamaged InereOy, i <br /> I DEPARTMENT APPROVALS I, <br /> I <br /> • I SEWCH COMh1UNiC>TIOHS I <br /> I pRAIVPGE TRAFFlC Q� — I <br /> PLFNNING 5� ��TU�[OF APPLICAN —/ / � � � <br /> WnTER C>O///��I,T3�� 1��C�K Y✓: I <br /> �II ,� nooaEss I <br /> � s*neer � .i.� �/.� I <br /> � //' � /� , � !.� I <br /> / � /�J / . �ITY_ - ZIP � <br /> � 41-� " �"�--s ���� ����7�`L�o j <br /> A�PRO� CON TR TIJN �ti� n�TEar�nrE <br /> G TE FPl10N/E NL1M11pEF I <br /> II DATE 0��67R ' I <br /> nPPROVED AS CONP CTE <br /> � <br /> �ONSTRUCTION/ASDUILT «E 197b <br />