Laserfiche WebLink
APPLICATION FOR RIGHT•OF-WAY USE PERMIT I � �0 ,� <br /> ' i�1 everetl _. L <br /> �� . e , _ <br /> � .-- ; ; .% - `:� � <br /> , . _, . ,_ , _ _ ,. <br /> CITY ENGINEERS <br /> EVERETT.WASHINGTON PERMIT N0. <br /> i ) <br /> The Undersigned � '' ' � r � ' <br /> _ � <br /> Hereby applies tor permission to ' � ' � � � �c: ��-` �'� "- ' '�� l '� i '- ''�� <br /> � � ' ) <br /> ,� 1 �� -) i �r i i 1� i l 't i�' l� � i t l , J�/rl.' <br /> i , <br /> At the following loca[ion � `'��� ` �� � ' ��i � <br /> J <br /> SKETCH <br /> � (Work to be done) <br /> N�d�� 1J w ' ,dATe ��ece-ss E�}sti���'�. ��vri����� i� ���; . <br /> ��s P % � <br /> � , � , 7r���l9oAL1 <br /> �;���� � <br /> ���; �2� J�lzrd�FJ i��c- �' <br /> � <br /> I <br /> �t�,-� <br /> i� - <br /> � <br /> � <br /> �i aUV�.�R� � � ' S�� <br /> � �� , <br /> � � , �; � � <br /> /i�l St'' " ,.rt cn',cl� ) _ <br /> _ � �.� <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO sCaLE save harmless the City of Everet[from any and all <br /> L.�— ---—� claims for damages that may arise because of ins[aila• <br /> I <br /> +I" LIP —�� tion and maintenance of the improvement hereto <br /> applied forand turther agrees to remove same upon <br /> �30';,�__________ __�.,30" notire from the Ciry and to replace public property <br /> damaged thereby. <br /> �{;� , _. <br /> Signature of Applicant � ' � <br /> - � � �7 i � , y I _ _' <br /> �-"�� - --I Address . <br /> CQPY OF THIS APPLII'.i\l10lJ TC - - � � �j �_; <br /> ,; <br /> BF POST[D ON JODSIT[. Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> Date -:; <br /> ' 24 HOURS �EFORE CO��STRUCTION� � �7 � _. . -�— , <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> Stree[ <br /> Communications <br /> Inspector's Signature TraiTic <br /> Planning <br /> �te <br /> Remarks <br /> � . �. �� . -�� <br /> Approved by . . `✓ �I� � � — <br /> ,,�.a:-, �,�:�. <br /> Date Approved ' . - . - . � <br />