Laserfiche WebLink
� <br />everett <br />� <br />APPLICATION FOR RIGH�'-�F-WAY USE PERMI�' <br />Type or print clearly wilh ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PERMIT NO. 7 � /02 �O <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: 1�--tJl"��v� ( �� '� 1�=� Lo^-� <br />���G � / <br />HEREBY APPLIES FOR PERMISSION TO—� O'� �GT6� 2� �-� Lt� '�� �"^ �' � l A� <br />AT THE FOLIOWING LOCATION ��I c� �TIa / 1 Ul�_ <br />DRAWING (WORK TO 8E DONE) OR THREE PLANS ATTACHED: <br />�` R- I C r,l.E' �, � Lt C(c �,-' � �5 �//t� i��,Nd�L 5' ��.c` u9/t'G � <br />�` FAc9z= oe� �1�.� il� ��9T /S�.�if'd/� �' <br />� sziiv��c.1�/',e� .�/�J s.�'eTta�tl i� ��G<<s.�.� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOB�ITE. <br />CALL. FOR INSPECTIOPI 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />i1J u <br />1 <br />ORIVB'WAY SECTION <br />� � <br />� f I" LIP � <br />� <br />�30�y� �30„ <br />The undersignetl owner �ereby agrees to holtl and save harmiess <br />Ihe Ciiy o/ Evereti Imm any antl atl claims lor Oamages. cosis. <br />expenses, or c2uses of action Ihat may arise because ol inslallation <br />�����5 iaintenance ol ihe improvemenl or other ng�l-oLway use <br />['b�r{�'applied lof antl Iurlhzr agrees lo �emove same upon nol¢e <br />,ral J,e Cny antl w�eniace pumic proverty tlamagetl inereby. <br />�, V :;. i:�19 <br />DE" <br />���`, ��•�i �'IER�TT <br />lnsP���ion ���� �`'�.� � ��G� <br />.r <br />�. ii � �_i�� �, <br />�! •• •• �• �%1� �� <br />SIGNAi RE Of APPLICNNI <br />/�G64 — �iG�L�i 1c /V� <br />r�ooaess <br />/l ,.,� �4.,+ ;�4 � �, 9 av 3 Z <br />piiv 2iP <br />�/� 6 ����� <br />iELEPMON[ NU�dO[R ALiERN4iE <br />APPflOVED AS CONSTRUCTE� L'qif �>^�� <br />