Laserfiche WebLink
:-� <br /> � APPLICATION FOR R. 3HT-OF-WAY USE PERMIT <br /> evcren <br /> � - 104�2/��� <br /> CITY ENGINEEHS ' �i�� .yJ) <br /> EdtiRETT, WASHINGTON PERMIT N0. 7L — � � ( � G � <br /> _, . <br /> The Undersiyned__ J o ir r5 r _1..., ��; � /o %,% . <br /> Hereby applies for permission to r � � � i n '� r '' <br /> o.�rL,— <br /> � � !°"',� � / <br /> . At [he following location FS O 11 _ N/. C /r= n 1)i— <br /> ' SI:ETCH <br /> . (Work [o be done) ' <br /> I_ i . ; <br /> � / L C�;�7--� r�ic P/���� I� <br /> I <br /> 3D io � <br /> 0 <br /> ' n.n.�t � � I <br /> � � I e � I <br /> i `� � , <br /> � el i <br /> � I $D� 1 49 � <br /> �� Asph �Yw I i <br /> � ` � <br /> I �� I <br /> i � j�� � � <br /> � ��I i <br /> i l �� ��i _. '� <br /> � I ��XIST/N;_-, ':.:. 5777�'/� � � <br /> � � � .I�k'a/N LiNt i <br /> ��� 19 " # <br /> ' NvT�' <br /> _svrzFs� �srof�,y 17�a�,u9,s� <br /> r�oM R-o-k/ T1� B� <br /> N o S c a 1 e �'i�o�iUr,v Fv.� 8Y OH/�.� , <br /> �,��.�.... <br /> ; <br /> ��l 9�](� : <br /> i <br /> DRIVEwAY SEC710N Tiie undersigned owner hereby agrees to hold and � <br /> � � zS E save harmless the City of Everett from any and all , <br /> -� claims tor damages that may ac�ae because of installa• <br /> , i" Lip —7� tion and mainrenance of the imprcvement hereto . <br /> � 30' 30' anplied�for d further agrees to rerr,o�c same upon <br /> ' �-- --�� "� � notice irom he CitX and ro replace blic property <br /> '�. � A i'1 y damaged reby. � <br /> . i — _-- C'-. i <br /> � � S ure of'Applicant � I <br /> —, _�l/!� L— � S� C� <br /> COPY OF THIS APPLICATION -.'O Address � / I� <br /> BE POSTED ON J0851TE. �J �S � ��--- `,/ <br /> CALL ENGINEERING DEPT. 259-8811 Telephone Number — � <br /> ', � iJ HOURS REFC,R� CpNSTf;UC,TIOid�� Date .. � `/ � <br /> - . .— _. _. __ _-- � � � i .. ..��!rj 'Z//�// I <br /> D"'•�c �-V� "J� ��� <br /> CHECK LIST Fee � <br /> 'i�ater valve Dept. A prova s i <br /> � Drainage �, <br /> �, Curb&Guttar Engine �J <br /> Sidewalk � � <br /> Water / _ /G %'a�jy� , <br /> i <br /> Street x,�: . % � <br /> Communicatioi '���i...� ,t1�._ '� <br /> Inspector's Signature , <br /> . Traffic. � , <br /> Planning '�l � A( <br /> I, <br /> � ate � e t " L , 1y�y� ' <br /> � <br /> Remarks � <br /> Note: Original ro Customer ' <br /> � Copy to Filc '� ��� � 2 ` / ' <br /> Cony ro Inspector ApprovecLbv � 6/�y/ <br /> � � l//r� <br /> Date Approved <br /> .�t..:.�� .. Y` <br />