Laserfiche WebLink
• APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> eeveren 10 5 5 4 <br /> � �Rrxs� <br /> CITv �NGINEEHS <br /> �� y��,rz C/��,C <br /> EVEREIT, WASHINGTON /(�,,/�_��/M.y� I.,�— / 7(p <br /> The Undersigned � ----- �J�i'� -��-�q//�� _---.-- <br /> !L <br /> Hereby apPGes for permission to _ -'� � • i � � , i� � . � <br /> . , � - — ° - �-��— . <br /> ,_ '--ir. .� . �. �' —. � � <br /> At the follawing location G �' ,� 0 �'� .'/. <br /> .' — <br /> SKETCH — — — <br /> (Work to be done) <br /> �1 <br /> �1 1 . <br /> �T , h �� <br /> .� <br /> — -• -^ ° '�' <br /> � y. I <br /> ' I � . � <br /> ,1,• I Go' � . <br /> _ _ _ _ --- .. <br /> l� � , I r� <br /> F I _ V <br /> � �� � . <br /> �t' ; � _�,� I � � � <br /> (``�. , L I /- . .�_' --_I_�-- - - - � �� �- <br /> � . �_ .r_'1'� � ; � <br /> ' �o - . . - �o.v�r ;•ii. .. ..� <br /> c� nir� <br /> ' __t:_.n . . ._ . . _ _ .. <br /> < �,� <br /> . �--I -� - �� �"� `J'.� � <br /> ' � ,�.?�� �. , e �t � � �. � , <br /> x s.� ' �. <br /> DHivEwAv SECTION � � The undersigned owner hereby agrees to hold and <br /> {._. NO SCALE �,i, �_9,-�� SaVe harmlesi ILe City of Evereu irom any and all <br /> I � �� - --� claims for damayce that may aiise l��cause of installa� <br /> � _ _ --�1 tion and maintenance ol Ihe improvement he�eto <br /> J J applied lor and further ngrees to remove same upon <br /> �30'�/ . �30"� notice (wm [he Ciry and Io rep ace public property <br /> }� <br /> � ���, damagcd thereby <br /> ��r�� - _�2�1?"�!- <br /> • SianaWre o App �c <br /> �J3/__ _c�^_. <br /> COPY OF THIS APPLICATION TO � Addre.ss -- -- <br /> BE POSTED ON JOBSITE. r S�.�Y��5��— <br /> CALL ENGINEEHING DEPT. 2598811 Telephone Number <br /> 4 HOURS BEFORE CCINSTRUCTION Date <br /> -------------------- <br /> --��— --- ---._.__--- � <br /> CHECKUST �1.p - ��G�+— - -- <br /> Waror Valve �_ Fe� � <br /> Drainage � Dept. Approvals <br /> Curb&Gutter Engincers �'____ <br /> Sidewalk <br /> - Water <br /> Sireet <br /> --- - <br /> — Communicatinns <br /> _ _ . .__ _ _. __.. . _.__ - <br /> Inspector'�Signatwr T�affic <br /> Planning _ <br /> at�— ------ - --- <br /> Remarks <br /> No[e: Oriqinal tn Customer — <br /> 1 Copy to File 10 5 5 4 <br /> 1 Copy to Inspector ApProved by <br /> _. . - --�--------------------.. <br /> n:.��, a„��. ��,,..1 <br />