|
- . •�.r
<br /> .t
<br /> I i
<br /> • i
<br /> Ieveretl
<br /> � 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 PERMIT NO. ' � %��'�
<br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:�� E ��.TU�iCI E{2 I
<br /> II' HEFEBY APPLIES FOR PERMISSION TO 1 N� T�`'� F �/����" �� n � � �� . � � ���E2 ,
<br /> '-��1JE / � T' /S�/ 9 f�No z u /� "�';7 //T � n� Tn 'v[-�1��-�— I
<br /> i AT THE FOLLOWING LOCATION
<br /> ///��'_� % t/. �-�--,�;�f-r ,�d�r'� T
<br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED:
<br /> J' C,� 3-y�c-sd
<br /> I —
<br /> v
<br /> ii �` or
<br /> I � — `' —
<br /> I � '� QJ
<br /> Lr` -� •D
<br /> I � �
<br /> _ 1 �,
<br /> 4� ac ��
<br /> � ;o� A„t y '� ` I
<br /> rh1 CAn�. � \o�n 7 � � ?` f � � /.�/N�:- �� fJ C I
<br /> ��� ' , �' �, o.�ilAC./
<br /> � 1 � 1 � 1 1'."1.tl�,`- �J
<br /> I �� t.FS�}\+� -JTrtG.F � � � ��"`��"t �� 1 � \
<br /> I rZ. �G �iGC�t+�' {a'Q 1 ` , ` ` \ / , /'T'� �'. �.�{�l � ' i"�C
<br /> I � T �OC I„ [�K.ILf! 1 f , J� �!�' - �
<br /> � �'�nw.. ey..e��w� \ �, � .. � l�� i /,�::7.
<br /> '�. 1�ro�ar -1ra��.� w..�,o�� �o bc w�.....i N�N ���� , ` / `��� 5 / ���.; /'
<br /> �}o �.�'c.al�a�> >a��>reu.c..�:o., . SFcU,��-- M��c/cs r�
<br /> � , , f! /.`'. � -<<oV /^. �,/?R D:'" , ,
<br /> � ld�a �o..a,�� c�o.�.a. �.ew� er P�Pe :.. R��� � , �r.arY_ s/� 7--�a✓ v�C .
<br /> �� CJn"-J-ctX,l' l:l'�f`-.n-t,1,� GJE �'y.-.�^'c`( `, � . -
<br /> i C�.v�-G`.�.f.. /�-(,"t�wl C�V-�"`�2- `�G'!s'v'- 01�+.�.� � •
<br /> I d �
<br /> I �-a� �Ay � ��Nuc �,,,—_} ,�
<br /> ,,, , «
<br /> �
<br /> E�I S';,��,,.r <. .��,..{��� �.P/' `l�io�k.: ZJ' �e ,,_� z,i,� T`�- _u�-�11�
<br /> /:�^.fn,_ �� �.^:.,�';���,tt i!y 7ic.�v Q. ,�,.]� �� ."...-�!'/0�1n� ;'�O 4� /J�' .� ..-�C�
<br /> 1��:.�..;�,.�' �... .��4-c��-��` tsr��� ii j ,,V!�P y,��..�� �s�� i4P0•
<br /> DRIVEWAY SECTION
<br /> PERMIT YS VALID FOI� 60 DAYS � —�
<br /> COPY OF THIS APPLICATION TQ BE POSTED �` � i" uP —�1
<br /> � �+�.� '�`30--Ij
<br /> CALL FOR INSPECTION 2v9-881 1
<br /> Y4 HOURS BEFORE CONSTRUCTIl7N ine undersiqnea owner hereby agrets lo ho10 and save harmless �,
<br /> �he Ciry of Everetl �rom any and all claim, lor tlemages. cosis.
<br /> ezpenses,or causes ol aclion ihF11 may arise because ol installation
<br /> I antl main�emnce 01 IhC �mO�OVCmfni O� Olher nghl-0l-way u5¢
<br /> herelo applied lo�and lurt�er agmes lo remove same upon no��ce
<br /> irom Ihc C�ly antl Io replace pubhr, proper�y damagetl ihereDy.
<br /> I DEPARTMENT APPROVALS
<br /> v 3'�/'J� �/�(�'J/�/////� �
<br /> ISEWER COAIMUNICAilONS �/` i�6��w^�'�—
<br /> IORAINAGE TRqFFIC ` �� ( r/J���
<br /> ���
<br /> r�
<br /> �yq7Eq PLANNING SIGNAiUAE Of APPLiCANi
<br /> L,.�?/,`%" "1-�EUE� .t�� P�i2K �af41�
<br /> STFEET F�OAE55
<br /> , � w�+sN. -(1',Gt'J.,�_
<br /> APPROVED FOR CON$Tf1UCT10N DaTE clr ��J `� �)"'� Z P
<br /> I TEIE�'MONE NUM1��ER ALTERNAiE
<br /> ��n�N,Pc.�1/Q�P'� _
<br /> _ , APPROVE�AS CONSTFUCTED _ __ __. !�^��. . .. .
<br />
|