Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � ' everetl — 1 O O O(� I <br /> � � � �� <br /> ' CITY ENGINEF.RS 74 _ I G�/ <br /> EVERETT,WASHINGTON PERMITNO. �� <br /> The Undersigned;/�r F i r�r�P � P ,� �/" i� — _ <br /> ', Hereby applies for permission to �'+�IN".-37�,2/J CT /7' AS'P,�1aLT D�LI� _ <br /> I I <br /> � At the following location �G/� FLdR/iJ�7 D/2. <br /> i, <br /> SKETCH <br /> � (Work to be done) II <br /> � �I <br /> I ! <br /> � I <br /> '; // I� <br /> i <br /> � �h �� <br /> � �� - <br /> �I NEW L�W � n�� I <br /> � <br /> I� � (;�1�I Ii <br /> I" V <br /> li ` � ���.1, 111 ', <br /> 2�'' <br /> • R-a- In/ i <br /> EDGE a� Elf/S T/NG �i <br /> l�AVEMENT ' <br /> � ND SGALG i <br /> ; <br /> 4(J' 2-0-W � <br /> � ; <br /> , <br /> DRrvEWaY SECTiON The undersigned owner hereby agrees to hold and II <br /> ' NO SCALE � save harmluss the City of Everett from any and alI , <br /> r--- ���--� claims for damages that may arise because of installa- I <br /> � i" LIP tion and maintenance of the improvement here[o , <br /> � 30" i 3p�� � c��� � appiied for and further agrees to remove same upon i, <br /> —.� f) notice rom the City and to replace public property I <br /> � da d th reby. <br /> ���. Si a ure of App icant �� /��•��• qnJ/Zi � <br /> ! -- Lft7 ����?(��ni�i*v �/.(ii/� N/�l' ///o. '. <br /> � COPY OF THIS APPLICATIOPI ��O I dr ss <br /> BE POS�iED ON JOBSITE. ���� � �. ��� � <br /> ' CALLENGINEER�NGDEPT. 2G9�8671 I/,1,�i/� Teel ph�eN mber <br /> IK� V � //_ /, —Y�1 <br /> I 24 HUURS f3EFORG CONSTRUCTION y �a.- 7 �a�e —' I <br /> -- -- -- ___ _ - 1��� ����� //-/�-�5� �9� <br /> �, CHECK LIST / � Fee I <br /> Water Valve Dept. Approvals <br /> '�� Drainage � �� ' <br /> �. Curb&Gutter Engineers <br /> ' Sidewalk ' <br /> Water <br /> �. � <br /> Q Street <br /> ! i( ijyr , �jgl.�. Canmunicatio s.. - il.-�.,,.%� /."f-..,...i �„ . <br /> . Inspector's Signature Traffic � c^ ��- i z- �q . <br /> �. �/�.�J - 7� Plannir� . �' ��/Z' 7� �� <br /> -6ate � . ' <br /> �. Remarks '. <br /> . Note: Original to Customer � <br /> 1 Copy [o File '�, ��.�� (� / � <br /> 1 Copy to inspector Approved by �/ , <br /> Date Ap Foved <br /> ��,27' �'� <br /> -��. - <br />