Laserfiche WebLink
everca <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLr; WORKS PERMIT NO. - <br /> EVERETT,WASHINGTON /J <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: erAl v y rU t <br /> _ <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION 2503 — O0 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> i <br /> i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS 1�--- <br /> COPY OF THIS APPLICATION TO BE POSTED �— I" LIP <br /> ON JOBSITE. 13o;_I _ 30" <br /> CALL FOR INSPECTION 259-681 1 I <br /> 24 HOURS BEFORE CCNSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims to damages, costs. <br /> asperities,or causes of action that may arise because of retaliation <br /> and mamlenan,e of the improvement or elher tight-of way Uea <br /> hereto applied for and further agrees to remove same upon nMme <br /> from the City and to replace public property damaged "uneby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> ORAMAOE TRAFFIC <br /> WATER PEANNINO / IONAI URE O RIIGNr <br /> /SOS <br /> STREET ADDRESS <br /> -- <br />