Laserfiche WebLink
e�veretl <br />� APPLICATION FUR RIGHT-OF-WAY USE PERMiT <br />Type or print clearly with ink <br />PRE6S HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO�'/��i <br />EV�RETT, WASHINGTON I /�� �o� I' <br />APPLICANT (UNDERS�GNED) AND FIRN,� FEPRESENTED, IF ANY: w'"" lS�� O�IJ rJ,P�S, ONE UJ%IST (-!/ ING, <br />HEREBYAPPLIESFORPF.RMISSIONTO ��JE EXrST�N� �����* Q��VEWQ'Y <br />AT THE Ff�l LOWING LOCAlION "��� ��� <br />DRAWtNCi (WORK TO BE DONE) OR THREE PLANS A7TACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPEGTION 259-881 1 <br />24 HOURS BEFQRE CONS�RUCTION <br />DEPARTMENT APPROVALS <br />SEWER CONMIINICATIJNS <br />ORPINAGE TRAFFiC <br />i� <br />WRTER � -�� ,� ..� �-PL/�NIjiNG � <br />��11 �.'�if <br />STIiEET y <br />�- ir //�..rf -o? J `U % <br />VSTRUG��VN � <br />'in y � �. <br />�Ml"-11�;�i� '.I�., '.i <br />� <br />�i j <br />DRIVEWAY SECTION <br />�� LIP � <br />� <br />� ��� �30" <br />I� - <br />ihe undersigned owner hereby egrees ro hola antl save harmless <br />the City ol Everett hom any end all claims loe Cama�e;, wsts. <br />expenses. or causes ol action �hat may arise be[ause o� installatwn <br />antl ma�nlenance ol Ihe improvemenl or olher n�hFof-wdy use <br />herelo aDPIieO br anA lurther agiees Iu remove s��me upon noUce <br />Irom Ihe Ciry antl to replace pu�lic pmpaty a imagetl Ihereby. <br />� ��� <br />51 N41URE(Ji�PFLICBN�\/ �� <br />;933 � �'� ? <br />nooness �O' n <br />NMon�05 U�Q• �-�� <br />GITV fIP <br />"J7/-�¢ 22 <br />TfLEVMONE NUAIBfA AL���NAiE <br />�a � �� — <br />on�c <br />CON.riTRUCTION/AS E3UILT ree 1978 <br />