Laserfiche WebLink
ever�M <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type Or pnnl clnarly w�lh ink <br />PRESS HARD - YOU ARF MAKING COPIES <br />PUBLIC WORKS � � � <br />EVERETi. WASHINGTON PERMIT NO.. � �� <br />n ��� c <br />APPLICANT (UNDERSIGNEDI AND FIRM REPFESENTED, IF ANY __ �GL-1s/_OL�,. T���.Z .- — — <br />HEREBV APPLIES FOR PERMISSION TO_(.trldi.�1GSKS_L STiC�G ���P�G����� <br />Dr.4 A7r.¢eii�/� �iA.l�' Gi9l7�O /2 5 c`7�') -- <br />��' �'�,���,. E� �r ,r a�A. 9.��_s� <br />AT THE FOLLOWING LOCATION ���.�¢—y"'�'�'�=�---��—y <br />DRAWING (WORK TO BE DONE) OR THHEE PLANS ATTACHED: <br />i�D.�`r1a�.r=,L� is .�SR��/s��Cd,F s r�,�'�irJc� C��l,PBs <br />��GiQ/Yjs Td ,�<- /,c1s��iEd ,�% �'/TJ �%�.�.E' id <br />P./,f� c'�i�?��/T U� c�a�JC'�T�c <br />,1` �-z�SIT/�.v A,�s�.-s �= T�=.cti ��J i�i'��.���%S <br />/�irl.� � X�s r�iU� IN1Preac��'���rJTs s��«� �= %rr�� >��� <br />!i5 1%i�PrNTr.�% ,�% �/f�' s�l/,QG�I' N/G�i�; ��IJs�:�C Tp� <br />InERMIT IS VAI_ID FOR 60 DAYS <br />COI�Y C'. THIS APPLICATION TO BE POSTEO <br />ON .10BSITE. <br />CA,LL iFOR IiHSPECTION 28f9-991 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT <br />SEWEP <br />I11N�IN� <br />STREEt - <br />_�.�/��({ ` /1-9-� <br />APPPOYF � N C(iN5 R ION L�� <br />� <br />.�. ��� � " �/� � �, <br />� Ff1pS (lNc1q .T� / ' nA\�.. <br />' M!! <br />DRIVEWAV SECTION <br />I" LIP <br />1+3��---- ----•�•30,� <br />f <br />T� � unaorelgneA ownar �ereby egreae to �017 end eeve herndese <br />Ine C�ly ol Evemll Imm eny enE nll cle�mn �or aemeBea. cofi�. <br />r.p3nsna or ceuans o� eclion Ine� mey anee �•taueo o� ��alnunhon <br />antl mninlennnce o� t�e im0�avemeni o� ol �n� ngM1Lol-wey usn <br />�PiP'O Bpl����'d Ip� R�Id I�I�IIIPI IIq�PPS i0 �PTO/Cl9Tp UpV� �OIiCP <br />Irom I�e C�IY nna to wpince v��oe� P�oOerlY �Ams9e� Ihe�aDY. <br />�u/���,��..��ii� 1�'L <br />--{—�,�f.�y�— <br />sif.N<'unf o� ArcuC�Nl C�. /1t /�/C .��`�� <br />� � c' �i � S' 7 — —_ <br />.unn[�s � �� <br />S � r /'� /r , 1,.� � � �. % rY �- , - <br />�; � y�.. S'y u a <br />if' EP���1N( NUMNF�� � �I �EAN�1E <br />�_ i7- �� <br />___..._.—_._—_. _.._. _ <br />. __ . _ . _.__ <br />i n�i <br />