Laserfiche WebLink
--., _ . :�$—...�—� _.--.., <br /> � <br /> I�� CVefP� RIGHT-OF-WAY USE PERMIT <br /> , � APPL.ICA7iON FOR <br /> Type oi prinl r.learly with ink <br /> j PftFSS HARD - YOU ARE MA.KING COPIES_ __ _ . __ _ _ , . . . . <br /> IPU3LIC WORKS �'� .�� <br /> EVERETT,WASHINGTON PERMIT NO. �' <br /> I � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPfiESENTED, IF ANY: �0 ���*� L.-_ Tu�z�/E 2 <br /> i C�. E�� A Pr�Tif Fo2 7'�i� %�i�,�r�/ry <br /> HER[BY A.PPLIES FOR PERMI551(�N TO � ,/ / �-7A�� <br /> 'I ��?��SE o F �,��� vC y /, ��; i � �9 .�,,..� �:';J i-n E ✓�E_rr— <br /> �i AT THE FOLLOWING LOCATION_ !4' �/�J c! / � ST r ��I�L �� <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED. <br /> I <br /> I e <br /> � . <br /> I I <br /> V <br /> 6 <br /> I � <br /> 4.�� <br /> v� <br /> �� � <br /> � � <br /> I � <br /> � <br /> m _r <br /> � � <br /> � <br /> � <br /> , <br /> I <br /> , <br /> � <br /> I . <br /> I � <br /> DRIVEWAY SECTION � <br /> j PERMiT IS VALID FOR 60 DAYS � �-�! � <br /> � � <br /> COPY OF THIS APPLICATION TO BE POSTED �i^ LIP J <br /> � OPl JOBSITE. 30�� � �7 30'�� � <br /> i CALL FOR INSPE�'FION 259-881 7 <br /> 24 HOURS BEFORE CONSTRUCTION rne undersigned owner hereey ugree� to hold nnd save harmless <br /> the City of Everett Iwm nny entl sll claims /or damages. costs. <br /> exDenses.or causes ol aclion�hat may arise hecauso ol installalion ' <br /> antl md�ntenante ol Ihe imptnvemenl ur Olher ng�t-ol-way u5e <br /> nerelo app�ietl for ana luriher agrees to remove same upon not¢e <br /> Irom ��e Ci�y antl Io replace publiG prope�iy tlamag�d Ihereby. <br /> DEPARTMENT APPROVALS i <br /> i <br /> SEWEii COMMUNiLAT10N5 ��' <br /> OFAINAGE TRAFFlG �� / `�� / � � <br /> ..A 1-L(�v/ <br /> V/ATER PLANfJING SiGNATU�E OF APPLiCANT � <br /> IJJ�J �E✓C-1��-/ f/t s��� ��0� �L <br /> STREET NOORE55 I <br /> / �.-; '' . � /n/n/eu0a n (.(�/�5f1 1�Q.:>6 <br /> f� c�.�:_�� ,�- �'Zs%�� � - � / - � �i ��r7�� - �5�5�� Z�P <br /> PPROVEDFOF NSTRVCTION oATE <br /> TELEPHONE NUMpER ALTERNAIE <br /> � /9��.G i��� <br /> �I APPROVEO AS CONSTRUCTED oaiE D/TE <br /> ; REFERENCECOPY ree �97g <br /> �--- --'t�.-,rc�--- �—�•- -q,; � .._- „� , .. i �i --� <br /> �� y _ . ' ..- . . ' ��.. �. ..-_-. ".' __"__ _ `_. �.. �ir.�._ . . '�..._�.—___._°'-+i::: . ��� �._ n�r�J_7���1 <br /> r. . <br />