|
- cverett
<br /> APPLICATION FOR RIGHT•OF•WAY USE PERMIT � �221
<br /> ` �
<br /> CITY ENGINEERS
<br /> EVERETT, WqSHINGTON PERMIT N0. 7 i� - � :� 7
<br /> TheUndersigned �� i .�,�.. � } _.�i ' :; � � - � ,.� .,�
<br /> � .
<br /> Hereby applies for permission to •.i ��' .-C ��-"^' "-i�,�% � i; � �,� �� �
<br /> i;
<br /> At the foliowing location �'=��;'i i� y
<br /> . .-.a....�_� �> /� .
<br /> '. ri r
<br /> SKETCH � � •
<br /> (Work to be dane) � �I � ;: �
<br /> __ C�d`.�Cie'..�:. . 4,:, t ii t ,.Ir.-r
<br /> j � �_
<br /> � � :.ti,cwL ,� ,va?
<br /> ; �;; � v �=� ,��az�� �
<br /> m A-i-G H '�� i sz Irf� .�.. _ ...-.�_....,...., �-
<br /> � ,,,�,,,,».,v,.,Y„�.,�.._ ��
<br /> � � �
<br /> � ..�-- ,.,^. i. '�: : ���J ,,� _. �.
<br /> �� � (���= � N oA-Tr. � 5 Z
<br /> �� �
<br /> � ._t ; , ; i��i �'
<br /> 1 . �'� .�� I � � ,, ,/ , ,. � T�. � .. ,. : ,rqt �
<br /> li'` ,.
<br /> ��.. , � �
<br /> � _
<br /> _.._.� � r_ ..
<br /> . \� J
<br /> �I , J`�`!J�
<br /> � ,� o � - ---� l.�C�.��� ������Y �
<br /> � � 3 LO , u �L S1x
<br /> a .�J ��S-r(�ucT� o�� �
<br /> q � I N�t-� �C ��sT2 � ���Ut=
<br /> - -__-_- —� _ �.JA l�.
<br /> C.UF S�pG
<br /> ���� ��{ �.v � , �A�� sr�r� o�� „�,
<br /> ,, .
<br /> _
<br /> __---
<br /> ORrvEwav SECr�ON �� The undersigned owner hereby agrees to hold and
<br /> NO SCA�E save harmless the City of Everett from any and aII
<br /> � ���� � � claims for damages that may arise because of instalia�
<br /> I" LIP _�l tion and maintenance of the improvement hereto
<br /> � applied for and further a9rees to remove same upon
<br /> �30�___�t__ I 30" notice from the City and to raplace public property
<br /> _,i.
<br /> damaged thereby.�, � � �_ ..
<br /> ,
<br /> Signature of Apphcan[ �
<br /> - - --- - ' �" :� ./,- - �
<br /> COPY OF THIS APPUCATION TO Address - . '�
<br /> BE POSTFD ON JOBSITE. �•'�`� - c`� '!"�
<br /> Telephone Number
<br /> CALL ENGINEERING DEPT. 259�8811 ,_ �� , �' �
<br /> 2q HOURS BEFORE CONSTRUCTION Date ' '
<br /> CHECK LIST Fee
<br /> Water Valve Dept. AppfoVals
<br /> Drainagr.
<br /> Curb&Gutter �
<br /> Engineers
<br /> Sidewalk
<br /> ��• /// W;+er
<br /> � Street
<br /> Communications
<br /> Inspec[o Signatur Traffic
<br /> tiq s � �� I � r � �.1��I Planning
<br /> / A .,/
<br /> ate
<br /> Remarks
<br /> .L� L � � . �'�
<br /> Approved by;� . �-', � -'`-(— .
<br /> � i� �� .i\"�i/ ,
<br /> -� Da[e Approved ". � -� . � � ,'0
<br /> INSPrCTOR'S COPY -
<br />
|