Laserfiche WebLink
�,; <br />�_ Washinqton Stata <br />D�parftn�nt of Transporta.ion <br />PERMIT NO. 11�167 <br />CS ���9 SR 5 <br />UTILITY PERMIT <br />DISTRICT NO. 1 <br />Name and Address of Applicant: Sunrise :'iew Convalascent Center <br />2520 Madi;on Avenue <br />Everett; WA 98203 <br />The A U ant, he einaifer relerred ro as 7nE "Utrlity", having� applied (or a permit to construcf, operate and <br />mainiain pa �> >nc�i concrete Storm dratn connectior, o an existing catch uasin <br />on a portion o/ Stafe Roufe No. � �n Sn.�no^�ish County, Washin_qton, the Washington <br />State Department ol Transportation or its aesignee, hereinalter relerred to as the "Department", hereby orders <br />that this permit be granted, subject to the terms and provisions stated upon the reverse hereol and Exhibits <br />attached hereto and by this relerence made a part hereof: <br />Exhibit "A". Speoial Provisions for Permits ard Franchises, Pages 1-3 <br />Exhioit "Q". Right-of-way plan� entitled, "SR 5, Jc!. SSH t�o. Z-J to 43rd Street <br />in Everett", page ; <br />Exhioit "C". °lan detail;, page : <br />Locr=ted west of the centerline o` Sh 5 opposite approxirt�ate �4ilepost 19U.69 located <br />in :he NE '; of the NW '� of Section 8, Townsiiip 23 IJorth, i<ange 5 East, W.t+l. <br />Tha location of the facility described above is fur•ther illustrated on the attached <br />map dzsignated Exhibit "B", page 1 <br />This permif shall be v�id unless the work nerein <br />contemplated shall have been completed before <br />12/31/86 <br />This permit is accepted and aNproved by the <br />Utility subject to the terms and provisions as <br />herein set forth. <br />UTILITY <br />Bv: <br />Title: <br />Date:. — <br />DOT H: : a'�; �' ox ..�=a <br />DEPART E1 OF RANSPORTATION <br />By. �tY��f ` <br />Title: . . _...: <br />Date: . ����� <br />��-.+ .,..1. ., <br />