|
APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11312
<br /> everetl
<br /> , �e
<br /> CITY ENGINEERS ' {i,Z � -7
<br /> EVERETT,WASHIfJGTON PERMIT N0. � /
<br /> � _i
<br /> r
<br /> The Underoigned ' �-t_ � f"�� h t^-f __
<br /> / ' i ' / i
<br /> Hereby applies for oermission to "a�� ;,� 1 +i,- � r :� o ,, ,. -, /f.;':��...v ;.. : �
<br /> /"
<br /> At the following location .�_7 .n�7 �t-. . � o�. � _. ... ... �-r.�� . . �
<br /> � � I
<br /> SKETCH I
<br /> (Work to be done) �
<br /> -.i
<br /> �-,,T;: ,1,1
<br /> �.� �� .-J � .
<br /> � 1 � � � �- .. , �.
<br /> �`� � 1���1/� '
<br /> _.__. . _... __�_.,�..'C� %r.. . ___. !�t � _. .
<br /> � '- _, � .. _ . . . �1/��ij�'�A ��tK'�
<br /> --�--------- ��� L��.'.�L�J._�r� _ `-:�;--- � � �u.P..��I `
<br /> ,.'c, r 1 w1�1�c�,y�.P �
<br /> � 'v �� f„���RC{!.C
<br /> '` � `._: I ' �_.` � C
<br /> � o.. �+ \: ��I Y __ _ . R . � � � �
<br /> � �� � � � ., f
<br /> � � � ti, �
<br /> ��• �C� �•r� I ,• v \. ���t �>
<br /> t4 6� r t c i- '�� I i
<br /> � o �_ �� r � �', � `' , � y �
<br /> " .e
<br /> � : �.. �. L � � Z
<br /> � -.�; -� �� --
<br /> , �
<br /> ` c, �• �
<br /> ���r'l� _ _.5._. �_... '-l�
<br /> �' , ., R.
<br /> f_ ��+,�ill�_._-..�_.\ . � �Ir,. '�t
<br /> � " . , .7 ` y` i -..: i �
<br /> `y �
<br /> L.1-'_----..._--.._._ �i���L4[. .---- _. _.. . . . . ' � O
<br /> Z
<br /> `�s � ���` .�.� �
<br /> .
<br /> �
<br /> �.�+..y-�- . .I . . ' ' � $
<br /> ___�,.�----�-�'--- -- �
<br /> r�
<br /> ` il i �. �^
<br /> � � `'� .�� ln�sfa ` �•i; - .,.
<br /> I ' ,
<br /> �. _ �� ���s,�, �:,:�sr„
<br /> G �'•
<br /> .�
<br /> S
<br /> �RIVEWAY SECTION The undersiqLned owner hereby agrees to hold and
<br /> NO SCALE save harmless the City of Everett from any and all
<br /> �- � claims for damages that may arise because of installa•
<br /> �" L�P tion and maintenance of the improvement hereto
<br /> applied for and further agrees to remove same upon
<br /> r30" T T 3� notice from the City and to repiace public ryroperty
<br /> damaged thereby:� � �
<br /> �)� � .,.,.��,.
<br /> Signatur— e of Applic� f ` "' / r
<br /> COPY OF THIS APPLICATION TO
<br /> Addre s i �. ��.... .. � /��.J. d �f
<br /> BE POSTED ON JOBSITE. ?r-�- �/�- '�' —
<br /> Teiephone Number
<br /> CALL ENGINEERING DEPT. 259�8617 y _ � _ ) �/
<br /> 24 HOURS BEFORE CONSTRUCTION Date ' -�
<br /> CHECK LIST Fee ' ., :� ' 1-•
<br /> ; _ /`� ,.�1,�..� _ 3: 2,�.1 � .
<br /> Water Valve � �
<br /> Dept:ApprOVals �;+�
<br /> Drainage � �
<br /> Curb&Gutter Engineers
<br /> Sidewalk Water
<br /> o� Street
<br /> ���n,�U��/ Commur.ications
<br /> Inspector's5ignature ,! Traffic . .
<br /> � S'i '7i Planning �
<br /> (
<br /> ate
<br /> Remarks
<br /> 11312
<br /> � Approved by �� �:i �--
<br /> 4 ,�
<br /> .� \ ,`/�(.� �,;' �t,��:-,.��.��_.:�i�i,�V /? .
<br /> � Date Approved � j;� �' .,� 0
<br /> - � INSPECTOR'S COPY �� ,/ �U/7 �{` .
<br /> r �
<br />
|