Laserfiche WebLink
i <br /> PVPrNN <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typa or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY., LI f1 I I 1 C _ <br /> HEREBY APPLIES FOR PERMISSION t0 <,t I"f Lam[ <br /> -1 <br /> I 11 T\. 1 C\ I\`/ <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE'.) OR THREE PLANS ATTACHED: <br /> L � it <br /> 1 <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS _ <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 t IL30';1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner her• F agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages. costs. <br /> expenses.or causes of Action that may arise because of Installation <br /> and maintenance of the Improvement or other right-of Way use <br /> hereto applied for and further agrees to remove same upon notice <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC '- _ C <br /> WATER PLANNING %GNAIURF Of Apr'LI([ANT <br /> STREET ADVRI%N <br /> CITY lip <br /> APPACIVED FOR CONSTRUCTION DALE <br /> TELEPHONE NUMBER ALTERNATE <br /> APPROVED AS CONSTRUCTED DATE DATE <br /> INITIAL INSPECTION REQUESTED fEE — 1978 <br />