Laserfiche WebLink
APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br /> ev� 10871 <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. 7 �—i I'� <br /> � The Undersigned �' � ' ' � � \ , <br /> Hereby applies for permission m r '� � I K�A / '- I /��i _ �� <br /> At the following location ' --'� - �� '� <br /> SKETCH <br /> (Work to be done) � <br /> _ . r� �. •_� . '/ - L� i <br /> I I <br /> II II <br /> I <br /> � <br /> I <br /> � <br /> II . <br /> � <br /> I i <br /> i <br /> II I <br /> � <br /> I I <br /> I I <br /> � <br /> � I <br /> I j <br /> � DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> I NO SCALE save harmless the City of Everett from any and all I <br /> I f.------ — � claims for damages thet may a�ise beceuse of installa- ' <br /> �, �" L�P tion and maintenance of tbe Improvement hereto � <br /> applied for and further agrees ta remove same upon � <br /> �� �':,.__ -_---�----__�.30�..I notice from the City and to replace public properry <br /> damag{ed�thereby.. / j� � <br /> I ,/� !/G-i� ! ,�.�':>/Cri'L <br /> I Signatu'e o(Applicant �. <br /> —_ _ _ ,'ii.- � �r'Lil tiJ/.6 ,i'�c. .c% ov�i <br /> � COPY OF THIS APPLICATION TO Address �Frjja ' <br /> � BE POSTED ON JOBSITE �"��-' 't��� �I <br /> ', Telephona Number . , <br /> ' CAI_L ENGIN[ERING DEPl". 259�&H11 � i <br /> � 24 HOUHS �EFORE CnNS11iUC"fIONi Dete � �. <br /> f <br /> � CHECK LIST Fee <br /> i Watar Valve Dept. A proVals <br /> ' Orainage • '� ' <br /> Cwb&Gutter Engineers - � <br /> � <br /> Sidewalk Water I <br /> Street <br /> � Communications <br /> Inspector's Signature Traffic <br /> � Planning � <br /> ate <br /> Remarks <br /> Note: Original to Customer `�- <br /> '� 1 COpV lo File 10871 �� <br /> 1 Copy to Inspector Approved hy <br /> � Date Approved <br />