Laserfiche WebLink
APPLICATION FOR RIGHT•OF�-WAY USE PERMIT <br /> ���«n 10726 �� <br /> e <br /> CITY ENGINEERS �'. <br /> EVERETT WASHINGTON PE4MITN0. "' � �`�G. j <br /> . The Undersigned � ' " ;. + . �� ��i <br /> � Hereby applies for permission ro -� � �i � - ���/_ i I� <br /> I _ _ � <br /> ��, At the followinp loca[ion �� -.� � ��. - i <br /> � I <br /> ISKETCH � <br /> '� (Wurk to be done) _ - � _ � ; � ,, . . <br /> i - <br /> I I <br /> IJ, <br /> I <br /> I I <br /> 1 <br /> I <br /> I <br /> I I <br /> I �II <br /> I 'i <br /> I <br /> I I <br /> � <br /> I� <br /> � <br /> , <br /> II <br /> � <br /> � DRIVEWAY SECTION The�undersigned owner hereby agrees to hold and '� <br /> I NO SCALE save harmless the City of Everett from any and atl <br /> , �-- �"I claims for damages that may arise because of installa� � <br /> � t�'� LiP �� tion and maintenance of the improvement hereto � <br /> � applied (or and further agrees ro remove same upon � <br /> , �30'� _ ___�30"� aotice irom the Ciq� and to replace public property ' <br /> � damaged thereby � <br /> , . __ T _ r�`�- /' ,/ � <br /> Si�nawre o App icant � <br /> • –_—_...____.—_— .._.. —__. __ __ i // .`. //i•- i�J -'i/)lL i:� f_ / 1Vn/, . <br /> COPY OF THIS APP.ICATION TO � Address � I <br /> � BE POSTED ON JOBSITE. I �-`� '=-S !a'7 � � <br /> � Telephone Number . <br /> CALL ENGIFJEERING DEPT. 259�8E111 , ,;.�f`.�.� � 1'� , <br /> 74 HOURS 6EFORE CONSTRUCTIOv� Date ' � <br /> �--- --- -- ---- -- ---- ----� ' . <br /> CHECK UST Fec - - �. <br /> • Wacer Vaive r t Dept. Approvals <br /> Drainage rw.�• lr y.,7�� ���i{� . <br /> �q� Curb&Gutler ts' �,C� ,��,..,-�a�r;,,�.,�' «f�' , ` Engineers � �� <br /> Sidewalk � " `-"� r � Water_ � - - � . � � <br /> .�: R � , <br /> ,_�:: �"� StrC't � <br /> �� Communicalions <br /> Inspector's Signature Traffic � <br /> Planning <br /> Remarks <br /> Note. Original toCusromi�r _ <br /> iCopytoFi�e �_n7416` <br /> 1 Copy to Inspector Approved by <br /> Date Approved <br /> - - � M - ' M <br />