Laserfiche WebLink
cyCfe(( APPLICATION FOR RIGHT—OF—WAY USE PERMIT <br /> Type or print clearly with In% <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. <br /> EVERETT.WASHINGTON <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: -- <br /> HEREBY APPLIES FOR PERMISSION TO <br /> 8 77 �'f'l. . S✓r_� derc "i 98,2,03 <br /> AT THE FOLLOWING LOCATION_._ -_-� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED �_`I" LIP <br /> ON JOBSITE. �30" <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undsnslgned owner hereby agrees to hold and save harmless <br /> the Clly of Everett from any and all claims for damages, costs. <br /> expenses.or causes of action that may all"because of Installation <br /> 9nd mamlenance of the Improvement or other rrghl-ol-way use <br /> price <br /> -� hereto applied for and luflhar agrees to remove same upon IT <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWCR COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> PLANNING NATURE OF APPLICANT <br /> WATER <br /> ADDRESS <br /> STREET <br /> ^/ C ZIP <br /> Z7 -�`/''// <br /> AppR 'yTR NS U TION DA <br /> TELL NONE NUMBER � ALTERNATE <br /> DATE DATE <br /> q RyEO AS CONSTRUCTED <br /> REFERENCECOPY FEE 1978 <br />