Laserfiche WebLink
-- �Q�_ . <br />�� t <br />lt�eflfi <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or print clearly with mk <br />�� PRESS HARO - YOU ARE M�A�KING GOPi�S <br />PUBLIC WORM.S � �� ���./° <br />EVERETT,WASHINGTON PER1��11; DJ.D. �-,1— <br />� - r:.� ,i <br />�y�-� 7 <br />APPLICANT (UNDERSIGNED) AND FIRM flEPRESENTED, IF ANV��'�^�r /Yfl �ptr�°�r�<�--�C--�y�=�='=a!':�� <br />HFREBY APPLIES FOR PERMISSION TO_L��� FXI�ST�I�I6 QN��i����ci r�/F� --- <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />e� � f ) �% � <br />�% ��'7 (/'��1�1'lJ i �.,''G... �,�% . <br />� I / <br />�C/j i��—L!1�7i�- j� UJ �-C� i� i-,a .��%�� /� <br />U ',� 0 i <br />� . �� � �'\ �/) ���� �i /�)ul_ ,�/� /Y.J—�'L.Q.. <br />�i.! (�:: `..'1 �'i`%(_. ` f � V - <br />�">- ^ � 1_� ! � �. .�.t. /��C�-(/,1'�'w�� � <br />'J�,� (,r�'-�, � � F--�� /�/ � ��� U�- �- <br />� ,,� � , ��� � � , - -1 - , � , .� <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO @E POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DFAINFGE <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PL4NNiNG <br />STREEi <br />, <br />P ROVEO FbR C t 5T UCTION ��O <br />��'� /a ��� <br />ROVED AS CONS UCTED OArE <br />CONSTRUCTION/AS BUILT <br />.. ,;. �� ,: , <br />. .. , <br />ORIVEWAY SECTION <br />� —� <br />�I" LIP <br />I' 30 T ` 30 � <br />7he undersigned owner hereby agrees to hold end seve harmless <br />Ihe City of Everett I�om any and all claipis lor tlameges, coscs. <br />expenses, or ceuses of aclion ihat may arise because ol installation <br />and malntenance of Ihe impmvement or oiner ngh4ol-way use <br />hereto eppbe0 lor and turther agrees m remove same upon noUce <br />iwm the City antl to replace publ¢ pwperry dama5e0 therepy, <br />�v�R£� �'?-� � - <br />CITv Z�P <br />�.3�.59/G� �-z�9A� -- <br />TELEPNONE NUME:R ALTERIJATE <br />� ��8s8� <br />DAtE <br />