Laserfiche WebLink
� _ <br /> 1 <br /> Ieverett � <br /> i � APP'UCATIdiV F�R RIGHT-OF-WQY USE �ERMIT <br /> iype or print clearly with mk <br /> PRESS HARD - YOU ARE MAKiNG COPIES <br /> PUBLIC WORKS I <br /> ' EVEFETT,WASHINGTON PERMIT NO.��� 3 5� <br /> i <br /> APPL�CANT (UNDERSIGNEO) AND FIFM REPRESENTED, IF ANY: <br /> '�, HEREBY APPLIES FOR PERMISSION TO <br /> i I <br /> � <br /> I <br /> I Ai THE FOLLOWING LOCATION_ ��y2h` — J �-� �r• S E. E�e�e�`f'� �V�9. /B�OT I <br /> i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: i <br /> I <br /> � I <br /> I <br /> I <br /> I <br /> I I <br /> II <br /> � <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTI�N <br /> PERMIT IS VALID FOFt 60 DAYS � _� i <br /> COPY OF THIS APPLICATION TO BE POSTED f + I" �IP � I <br /> ON JOBSITE. <br /> i CALE.. FOR INSP�C7'ION 259-881 1 f j� T �30 � <br /> 24 HOURS B�FORE C�JNSTRUCTION I <br /> The uneersiqnetl owner hereDy agrees to ho'a antl save harmless <br /> the Clty ol Everett Imm any antl atl claims lor tlamages, costs. <br /> eapenses.or causes of action�ha�may arise tecause ol installalion <br /> � antl maintenance ol Ihe improvement or olner righl-ol-way use <br /> i herelo apPhetl lor qntl lur�her agrees lo remcvC szme upon nobce <br /> Irom �Ite Cily antl �o repldte pubbc property Oamdgetl ihereby. <br /> I DEPARTMENT APPROVALS <br /> i <br /> � <br /> SE W ER COMAIUNiCf T iONS <br /> ORAINAGE iRAFRC O <br /> I .,�/�,C�1G��,��F'�� 'J�=k.r.��,. <br /> Gu/4' IA.GI S <br /> WATEfi PLANNING IGNATU�E OF FPP�ICANt <br /> ' �D �X 4/`� <br /> ;I STREET ADDRE55 <br /> ; / K��k/�. �l 96�033 <br /> �Y � ����/0��0 r,itv 2iP <br /> �;��; t� O` .I <br /> IAPr'ROVED OR CONSTRUCTION �onrE Uz`��G4Gr`� <br /> � <br /> � rE�E�„o��E���,.,�E� ��,E�ti�,� <br />