Laserfiche WebLink
everect . <br /> APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> ,� 10024 <br /> � <br /> �., , , :.NGINEERS ,. / / '/2 <br /> � EVERETT,V.ASHINGTON PERMIT N0. <br /> ' The Undersigned �,J, la 1 �IG,�)_�� �1�� I �7.�1 ���"'�E'S <br /> Hereby applies for permission to GOt�)STIZUC.T A d � -• A l . �l�l(�1E1.�1��� <br /> At[hefollowinglxation�?_S �['Z�..j/�1��ZLl/�1 }'�V �ti11� '� <br /> SKETCH <br /> (Work ro be done) �� <br /> S��5 <br /> � (�OM�{�CI L -- <br /> --c� � <br /> � � ' <br /> ' ,/ <br /> �) � ' <br /> � f�.. � � ��/ <br /> j <br /> i <br /> / �� <br /> ��� y� A f-'� <br /> � �p�G �30l�' P'J� <br /> ; �5� ,/ � \ �P�. � <br /> ; ,� / / '�o�►A <br /> � <br /> ��` / <br /> 40'� <br /> � DRIVEw,1Y SECTION The undersigned owner here6y agrees to hold and �I <br /> I NO SCALE save harmless the City ot Everett from any and atl . <br /> ��, r 2c�� --- � claims for damages that may arise because of installa- �� <br /> � (I" LIP� tion and maintenance of the improvement hereto ' <br /> applied for and further agrees to remove same upo- � <br /> � �0'�.--. ---,--.}.30".� notice trom the City and to replace public properry , <br /> da ed thereb ; ������� � <br /> � 4�j3;� � <br /> , Signa e of Applicant <br /> 9 � 3 - �� �DS�s.e.-��� <br /> . I COPY OF THIS APPlICA710N TO � Address ��/ / p <br /> � � 7 —� O <br /> I BE POSTED ON JOBSITE. � Telephone Nu ber . <br /> . CALL ENGINEERING DEPT.259-8811 �y` ��� � d 7 � . <br /> ' i :h1 f�lp'�.;RS l3[�ORECOGSTRUCTION .�lk � Date <br /> . _ _ . _ . ._ — i . .�- <br /> i /�1l��_ _ <br /> � CHECKLIST � � F� �'� � ' �-3C�gZ� <br /> Water valve Dept. Approvals <br /> Drainage . <br /> Curb&Gutter Engineers , '��� <br /> . Sidewalk Wa[er . <br /> Street ,��� �l,•2-- �, <br /> (y^� / i) - � � � _. � , i <br /> . 1�(N� ��\tYlti ���"'fJGt'.�% /..,'. '.� L COff1R111n� B I -� <br /> / <br /> Inspector'sSigna[ure ��., �;:r Traffic � ��'�. <br /> Planni\ � � <br /> �- ? (-� '�7c{ <br /> at�e <br /> Remarks <br /> � Note: Original to Customer <br /> t Copy to Fiie 10�)?_ 4 <br /> , 1 Copy to Inspecror Approved by � <br /> . <br /> Dale Approved ��- �— 7 <br />