Laserfiche WebLink
evcrett APNLICATION FOR RIGNT-Of--WqY UuE PERMIT <br /> � 3085 � <br /> CIIY ENGINEEHS <br /> EVERETT, INASHINGiON PEflMITNO. " ;-� <br /> -�; <br /> The Undersignec �,�_-1�- �! �?.' , � _(1� ..�^_ . /..`, � <br /> Hereby applies!or permir,:m to�' _. �l��i 7 ;�__�, �� /a cf-H � <br /> __ — _ _ . .—._ _ L—.._ �.i <br /> At the following location ' — -- <br /> lU .� --� -a ;3 n,F..��ia�_ , <br /> --- - �.-i•� .'r_! — <br /> � -- <br />�� �`: SKFTCH ---- ------------ ------- <br /> (Work t�be done) <br /> 'v- ,.� f� ;�. � 1 , � - , . <br /> 1 <br /> 1 i ; <br /> DRNO SCA�E CTION Tlie undersigned owner hereby ag�ees to hold dnd <br /> f.- ---_ ____ ____ . _ � savc harmless ihe City of Everett from any anrl all <br /> _ clnims fnr dama9es that may arise because of installa- <br /> �`— �����P __� tion and main�enance of the imp�ovement hereto <br /> �,SO" �30^� apnlied lor and lurther agrees to remove same upon <br /> � �� � notice froe� the Ciry and to replace public property <br /> damaaed ihereb <br /> _f� C����!G:, ���G,. <br /> Signature o(Apphcant <br /> � � ,�.•, �), I�u�� ,s�-��i � ,�,il-i��. lr, / 7�3/'J� ' yyv/�. Gc��} �. <br /> Address <br /> �, ,�� �, ,���„��::�.� �� -;-s%� ,�� y�;'` <br /> � ��I.I. ftiGINfERWGDEPT. 259gAI1 TelephoneNimber --� <br /> . ; I{11U17S [if,FORf- CtJPJ'�. I I'.U(� I I- �� �n �d/ ��/�� _ <br /> Date -- - <br /> ' �� 7� <br /> CHECK LIST --_L�= r�' " <br /> Wate� `:alve Fee <br /> Drainaga Deut. A provey/ <br /> Curb h Guttel n J <br /> Sidewalk Enginee;s____.__��i ,�,.`� _ <br /> ------ — Water <br /> Sneet --------- . <br /> --- -- <br /> .__. -----�- <br /> -�----- "- -. ..- _ Cnmi�•uniCa[ions__ <br /> nspector's Siynature <br /> ------------- -� <br /> Traf f ic �----- <br /> Pianning___ � <br /> DSte--- -_ _ <br /> — --- — <br /> _ — ----- <br /> Remarke �- ---- -. <br /> No�c: Onyinal to Cusromcr <br /> � L�PY [o File � C -- <br /> 1 Copy to Ine� :tor 1 � ��+) � --- —. <br /> ApProvrd by <br /> -- — � -- ------- <br /> DateApprovrJ �-�---�--.. . <br />