Laserfiche WebLink
ki <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly wnn ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON PERMIT NO.... <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: 2,._ <br />HEREBY APPLIES FOR PERMISSION TO�.t/f <br />A <br />AT THE FOLLOWING LOCATION._-_-_ <br />i <br />DIIAWING (WORK TO 8E DONE) OR THhcE PLANS ATTACHED: <br />M 181a91s T N Taw XX � <br />PERMIT IS VALID FOR St, DAYS <br />COPY OF THIS APPLICATION TO RE POSTED <br />ON JOBSITE. <br />CAiL-L FOR INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />DAAINAOE y \1 <br />WATEn <br />COMMIp UCALONi <br />Traffic <br />PLANNING <br />APPROVED FOR CONSTRUCTION DATE <br />of it< <br />3 - -� <br />APrVM-AS SiRUClEU — DATE <br />I: it I L11. li-0'�I'f.0 I li.. PI (;L'pUESTED <br />DRIVEWAY SECTION <br />I j I" LIP <br />'»30 --- - 30„ <br />The undersigned owner hereby agrees to hold and save harmless <br />'he City of Everett from any and all claims for damages. costs <br />�penses. or causes of lichen that may arise because of installation <br />"rid maintenance of the Improvement of other nghl-of- ay use <br />Loreto applied lot and further agrees to remove same upon notice <br />hem the City and to replace public property damaged Thereby <br />IELOin1NE U R '� L � AI TERNAfF <br />DATE <br />