Laserfiche WebLink
ki <br />CITY ENGINEERS <br />EVERETT, WASHI <br />The Undersigned ! /1!/ ! / <br />HerQby applies for permission to <br />Zf; /A,, r %i'4/ <br />At the following I <br />rA <br />SKETCH <br />(Work to be done) <br />NEW I Z. " DIP <br />&UCVAff T /Al <br />DRfA' D/7CH <br />COVER <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />14&14>1eq Yr% <br />pL,no e 0 (,-Z <br />�l'd,Q� �rJAfi <br />CONCRETE_ <br />EX I ST71V IS <br />TlWeN <br />DRIVEWAY SECTIOO <br />NO SCALE <br />I ~� <br />30, 30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. ` <br />CALL ENGINEERING DEPt. 154 fI <br />24 HOURS BEfPRE,gONSTRP0Ti1ON <br />Inspector's Signature <br />ate <br />i <br />5O% <br />a`;;;. , <br />10273 <br />PERMIT NO <br />75 -) 49 <br />N&I CATC M 6HS/N (T YP) <br />cat 60 I f k"-ter�V%4b ow <br />i <br />8j I <br />NO SCALE <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installs• <br />tion and maintenance or the improvement hereto <br />applied for and further agrees to remuve same upon <br />notice from the City and to rep}ace public property <br />Uate �/ n is F4 n <br />Fee fiG <br />,, - <br />Remarks -- <br />Note: Original to Customer <br />1 Copy to File 10273 <br />1 Copy to Inspector <br />Date Appr6ved <br />