Laserfiche WebLink
� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ' everetl <br /> e 1�$11 �� <br /> �� CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO. �J �rI Z � ' <br /> . TheUndersigned Lf:�� \/Ail/ ��iin,��G� ._I <br /> '. Hereby applies for permission to P.7i� STR �"� F} /�J � (_',7 iZ/ ����r � '� <br /> �� <br /> I <br /> P.[tne following loca[ion S 3 z 9 A -c !'? G/�n/�tp��+F <br /> I SKETCH ' <br /> ��� (Work to be done) � <br /> � i <br /> /-��%%�L�'r� <br /> � <br /> � � i <br /> I i <br /> ' <br /> i <br /> i <br /> I � <br /> , <br /> i <br /> I <br /> j I <br /> I <br /> I � <br /> � .. � <br /> � � <br /> � <br /> '� l <br /> I <br /> '� DRivEwaY SEC7i0N The undersigned owner hereby agrees to hold and + <br /> , NO SCALE save harmless the City of Everet[from any and all � <br /> � --"I claims for damages that may arise because of installa� I <br /> � r`\ +i" ��p tion and maintenance of the improvement hereto � <br /> applied for and further agrees ro remove same upon <br /> �,I 4„JO'�___________ ___ I 30" I notice from the City and to replace public property <br /> .1. .1 i <br /> ' dam��uged h�ere/by. !,� <br /> � " s�-Y ��--- ��' -_.��'� -� I <br /> I Sign ture of ApPficant '', <br /> ' —- - �3 a 3 G U � - �,�� <br /> ; CUPY OF �iNIS APPLICATION TO � Address � <br /> , BE POSTED QN JOBSITE. 3S�-3 S' S3 ��. <br /> �� CALLENG�NEEFINGDEPT. 259-8D11 TelephoneNumber ; <br /> ' i ." HOURS6EFORECONSTRI.'CTIONI Dat� � � j � <br /> . _._—_. ----- C <br /> CHECK LIST n � �� � '� <br /> Fee <br /> Water Valve � <br /> Drainage Dept. Approvals i <br /> Curb&Gutter � �/ - �� <br /> . Engineers��,(,[ �� , <br /> � Sidewalk � ' � � <br /> Watcr ..�. ).e-i ���> .r4...d3-�� ��� <br /> Street������,� ,Ir-� �,i , <br /> � Communications ' � <br /> Inspector's Si�nature Traffic � <br /> IPlanning <br /> , -6ate —" t,t� .,. i l�r�--� +„v,.q�ee. <br /> J <br /> Remark� <br /> � Note• Original to Customer i <br /> , �a�Y to F��� 10 811 <br /> � 7 Copy to Inspector Approved by , <br /> Date Approved <br /> ��.�. _ <br />