Laserfiche WebLink
:;.:� - <br />everett <br />APPLICATION FOR RIGHT-OF-WAY USE F�ERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUB�IC WORKS _ <br />EVERETT, WASHINGTON PFRMIT NO. P �" A <br />APPLICANT (JNDEFSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIE5 FOR PERMISSION TO_�I.i��:Z��l-LLC `�•� C� �A fi� Cf�_ <br />�J 7 N .f �+ <br />AT THE FOLLOWING LOCATION _ _ /�� A-� S S -'-'" S i 1• W � <br />QRAWING (WOFK TO BE DONE) OR THREE PLANS ATTACHED: ���''' 7�� ��G <br />� <br />yY;,�,H.� .. .._.��..�.�r.�.A.�r > �` • r -.1 � i ;�.r <br />• r _�, N�f t� iCV�'�A ' , . , ' " I <br />':. .�.�•�. . .,.� . ... . . , .. /� ... . . . � 1 . 1 . <br />•r�� , 1. Q.X�7T\hG .`.Slyy Aw..�C.��•PfG ,Mw�PyfsY A"�y.�01wn`�'.40�w6'. VO '�nNwiC� <br />1 n / V � I <br />•'G�ur,%►` co.es�:; �wiil bL 'teea�cerX or � et�..ove� a.� rt,�lxe� .�v ' t <br />a,/�.�1 . �' •t <br />.. `.W. \S.i.J�s�� ��ow t.` . •� �T�• <br />• . .,� �\... '. . ..' ��(�� r ' ... ':� . :.. .•. .� ..It. <br />.�• E.w\S�1w+dC�ilwq�Y.,S�OM�A. �ot�v.���1Ll�C C�r' NtW YYOrwC4� lT �nt..� � � t <br />J /� <br />� ' • � af�va•ww s %t:.v� ia �ot�� �..��%a/l�lnY �-�1±+�.' "a��i . ..' G'��a�. w..+s�- {eC , �. . [� <br />.� t-1 �1 (� t <br />Ilii `�`� ... . �0�11 �t�wv�'a+�r�.�['G(�,lAe�eJ! w�-'.�t...i:�ri�e�v�.�' 1ae�or� w�.�! : . . ' .�'-;.: �_ <br />�. F + ' ,• . ' ' . . <br />' � G14�'i.�` dC`�Nlw '�o�o..:'-��KKocr�rtG:,oFF O�'. CN�QP��� \',�•NO'r .:f. ', . <br />. d ".� '_'�'_,�; — �' ; <br />. : '' ALtow£D :. . � ' . ; , � :. .:.. I , . <br />� .. • 3, 41t. �r�o,nc s'er.�.weAs rn�.s�- i�e �'Fw.,.� _.e..�'� qr. ^in.�tr. ,o.✓� dv �. � _..-_, <br />:': ' •' Ylenr.iee�- ea. Pw�:.a.o:. Jo:...i', .. . <br />', . �: .: : � . • .,. . •. r... : <br />,.,..�w,�r�._... . . .........� . . . . .. • . ..- ,. _ ..._ � .--�/'r� . .� -: l" :: � . . <br />PERMIT IS VALlD iFOR 60 DAYS <br />COP� OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FO�R IMSPECTION 259-881 1 <br />24 HOURS BEFORE CQNSTRUCTIDN <br />SEWEH <br />OPqIfJPGE <br />DEPARTMENT APPROVALS <br />COMMUNiLITIOIlS <br />TRAFFIC <br />WATER � � I^^ pF, _ _ "_ <br />r' A�'1NING1 '�� <br />�' i `� � � - i ( `I 1 <br />('i L ` - i <br />STREET J � , <br />a� �;� j0 �� <br />DRIVEWAY SECTION <br />� --� <br />� +I'� LIP � <br />� 30'�1 I 30" I <br />I ��� �� <br />The undersigned owner hernb� nqrees lo holtl an0 snve harmless <br />Iha City ol Everett Irom any antl all claim5 loi aamnges, r.osts. <br />ezpenses. or Calises ol ettion that mey arise bewuse o� inSlallation <br />and mainlenance ol Ihe improvement or olher r�gh;-ol-way use <br />here�o apDlietl /or an0 lutlher agrees to remove same upon nat¢e <br />Irom ihe City antl to reDlace Dubl¢ propeny tlamagetl tnereby. <br />� `�'� // v/� <br />SIGNATURE OF APP�ICANT <br />G 9�(o fv��y-r �., 7.c-", <br />FOORE55 � <br />-��•-, �— 9�2�3 <br />G�TY LIP <br />'— 3SS- 9�u v <br />�/ TELEPNONE HUMBER ALtERN�tE <br />G/a y/�� <br />D�-� <br />CONSTRL'.^.TION/AS BUILT <br />