Laserfiche WebLink
everc1t APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print Llearly with ink <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 /> AT THE FOLLOWING LOCATION _ <br /> DRAWING (VIORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> 1. eTA►7[av�s.$JE1y_ as 9 crtr. wee . uw�/��/h..a,C.Y � Or�.a lC1/IN..r nJ C. �ow� • VO �.�rw!—r <br /> ' i�Nf�rA GOH�T, Wal' �L E�Q�frflar Of a fCaA+OVrI�Co� re.,�)pae�Q -� � '' E <br /> It• E+.\S}aw�PfAIC Wq.�S.`S�OM1,A bC1 K�\{/�/IILIJ( V�f`NGw LfO y.�GS, 11 Ml�v _. 1 <br /> • �`r\V!'W�S YIQV(\I/l��f �tl(�bG \1H^7�?1�/��/I f�Y1 C.tf� <br /> ��P.11 Al fC.+'.O�I f..; PW% �(� `�"G�Jr OF MCW df•\JG W4.�d IC�OM M�.uY _ �. <br /> awsti.I` arE�ew. l �oc� — KNoCr%NG= oFF DIV-— C-"Vizc C-5 nao C I <br /> S. ;-t11 .CA�C {'CA++sv—Ai ✓nu`.i^ b2 'Eta C Or <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO RE POSTED <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 I� <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold end save har-.ness <br /> me City of Everett from any and all claims for damages, co e. <br /> e.pensoe.or causes of action that may ar%' because of melall on <br /> end maintenance of the Improvement or other 1191,11-ol-w use <br /> herein applied for and further agrees io remove same up notice <br /> from the City and 10 replace public property dnmeg thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER C0I1MUNICATIONS <br /> DRAINAGE TRAFiIC / <br /> PLANNING w:N nL Or P LiCAN Z <br /> WATER �7�lJJ �� <br /> DRE <br /> STREET CO5 a .� �— -� 98203 <br /> pDIT./(y 2 Zm/ <br /> A V FOR CO DATE J�— ?'7/7 <br /> TELEPNONC 1MBER ALTERNATE <br /> W'PRONVED AAS CON 110 YTIO DATE DATE <br /> J i0 "1inW ii1r1o'CONSTRUCTION/AS BUILT FEE 1978 <br />