Laserfiche WebLink
evrren <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />L/ 1 ype ul pnnl t.leerly wqh mM <br />PUBLIC WORKS PRESS HARD - YOU ARE MAKING COPIES <br />EVERETT. WASHINGTON PERMIT NO <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTFO, IF ANY �f,�_��_-J <br />HEREBY APPLIES FOR PERMISSION TO <br />e6,r, At <br />A�L�—���'AT THE THE FOLLOWING LOCATIONLG�— <br />-N -.. s---- - - 4 a <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />I1o(/S L - <br />+ wau,/ <br />7-D fOf• ZT—S/aL - <br />/op <br />Nl f5%I <br />tvf•Y�T� �v�si0 <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER <br />COMMUNII niuINI <br />RAINAOF <br />i <br />7 RAFrIC - <br />WATER <br />PI ANNiNO <br />STREET <br />---- --- <br />A VE FOR CO�J—CTIOF---"- r1A7T— <br />A ROVED CUNSTRVCTED pA f! <br />DRIVEWAY SECTION <br />—_1" LIP <br />1 <br />The undenlgned owner hereby agrees to hold and nave harmless <br />the City Of Everett from any and bit claims for damages, cod,. <br />espenam, or cause$ of action that may Brim because of Installation <br />and ne ntenance or the improvement Or other light oteay use <br />heretO applied TO, Intl lurther agree, to rmnoye same upon notice <br />burn the City and In replace public property damaged thereby <br />Sni rII]RE Ji APA N/A�e;�%i`� �V <br />AItO�nE Sti "'� — <br />Tf IEPIIONF gUMPI n--[-.7�—_ <br />Al tfnNA1[ <br />bATE <br />EFF _ <br />—1978 <br />