Laserfiche WebLink
'� APPLICATION FOR FlIGHT-OF-WAY USE PERMIT 11? 7 t} <br /> cveren �i <br /> �� ,�, � <br /> �y,.� ` <br /> �,`' ' ' � <br /> CITY ENGINEERS ��^y <br /> LVBRETT,WASHINGTON �2i A PERMITNO.� " <br /> L�� � � � <br /> Thr. Undersigned � ^7��� "��-^'c�'" i <br /> Nereby applies for permission [o o�'J'� /� � �� " : _�—°'��Z <br /> At the followinp location � �J�l � -�4:.'-r���"'+� � / � ` r, � <br /> V � �� <br /> SKETCH 6 � �V <br /> (Work to be done) 1 " ') �j V._ � � <br /> � �� �\�,Q �w Q�" � �� <br /> ,1- \ � VJ `(` <br /> � � �.-� � <br /> �,j1l�� `��• � ` `7 <br /> 1 � .,� �� ,�L'�'" � �,r� <br /> `��\��'' � \ v <br /> � � �� � �N <br /> V � <br /> � �� �1.� <br /> l7.� ya G'ar r '�'- <br /> ��jc �/oot �on� f"'o .G� ""'�/°!�'-Y G� � LLi/ou/ ��ie:?� <br /> � ,^../v et J�"� fo�/ �livP� !-�../.-:c�- /-�l� . <br /> r(� P' /�--i/ -�.78 <br /> �;� <br /> F <br /> � <br /> DRIVEwAV SECTION The undersigned owner liereby agrecs to liold and <br /> NO SCa�E save harmless the City of Everett from any and all <br /> � ---� ctaims tor damages that may arise because oi instalia• <br /> � tion and maintenance oi the improvement herein <br /> i" LIP _� applied tor and further agre�;to remove same upon <br /> ap�� I � 30" notice trom the Ciry and to�^place pu6lic property <br /> •.i�---_ <br /> � damaged�er��� / . () , _ <br /> J/�.C�-w✓l. �'L/ <br /> � Signature of Applicant <br /> � � ' �il_ .�-+.. k1Ck <br /> • CO°Y OF THIS APPI_ICATION TO Address i% v`�n3%L`4f-��wOsK � /a -�2� <br /> S BE POSTED ON,IOBSITE � � <br /> Teiephone Number <br /> 'q CALL ENGW�ERING DEPT. 2F�9-6811 ?2� � - �� � y <br /> 24 HOURS BEFOAE COfJSTRUCTION . Date r�(� <br /> —� f� ' � ' / a7 <br /> CNECK LIST Fee <br /> bvo.er vaive Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers — <br /> � Sidewalk Wa[er <br /> � Street <br /> Communications <br /> Inspector'sSign�ture . Traffic <br /> Planning <br /> .� _� <br /> ��.�j Remarks 113 7 4 <br /> � <br /> � <br /> :y Approved by <br /> ;� CUs'I'CM6R Da[e APProved . ... ., � <br />� _ _ __ _ . _ __—_ _ _ . <br />