Laserfiche WebLink
" ' APPUCATION FOR RIGH7-OF-WAY USE PERMIT 11215 <br /> . ' . everetl , <br /> < � <br /> , <br /> �� . 'CITY ENGINEERS <br /> , �•,EVERETT,WASHINGTON PERMIT N0. I�' - �/ � <br /> ' \K""' ",i i �' <br /> The Undorsig� ed � I l.i �1 1,� /7 � ( . Lt .0 "�'/, Le. i�-'h:�., if ��1� t' <br /> �.Hereby applies for permission to ��- � ��.. �� .• �� ��.u � � r� ''� � �-•��� � � <br /> . <br /> � - "F' T r i , �l _G-, i,•.---'i i . . <br /> � ' 'I �1.• -T'1„ ,� ,3,.,. r�. ��:� r_�- �.� ��zk'� g� <br /> At the fol lowing location / �'"/��^C: r �- d n� <br /> ! �Ir. �-�t, l- r}t�l �� � I�s� 1 ) �G 4� I�H„ l-,r �� ,� l r, <br /> SKE7CH ' <br /> (Work to be done) / �'z f 1 - <br /> � s.��rs _ �-�- � ,: <br /> ��+�{.UtVe'hT I�'��! <br /> -- /GU. �— — �. S F'� 4 �- _Gt°R'�, Si7ZN' _ <br /> L � <br /> / • <br /> r <br /> � <br /> � � <br /> � <br /> If �_ <br /> DRIVEWAY SEC710N The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and all <br /> r-- � claims for damages that may arise because of installa� <br /> i" LiP [ion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30" _�Ir-3��� notice from the Ciry and�to replace public property <br /> damaged-thereby. !/ ( ' ' <br /> � ,::%;r�y/ �r'7M��t''��, <br /> Signattiie o(Applicant � <br /> ' )�U l�i;C /�i' SL 7 I�.,�i r F '�;j— <br /> I COPY OF THIS APPLICATION TO Address � � <br /> BE POSTED ON JOBSITE. � � ��' � �' �' t <br /> Telephone Number <br /> � CALL EP�GINEERING DEPT. 259�8811 .� /,-,jy�,* <br /> 24 HOl'RS BEFORE CONSTRUCTION Date <br /> -:�, . <br /> CHECK UST F�e / <br /> Waier Valve __ Dept. Approvals <br /> Drainage _ ���, I � <br /> , Curb&Gutter Engineers� � � � � �� <br /> Sidewalk Water '� <br /> Street ,� <br /> Communications� � <br /> Inspector's Signature Traffic � <br /> Planning <br /> -6ate — — .;' —_ .� <br /> i( � <br /> � , <br /> Remarks <br /> 1 1 � 1. 5 - �,. , <br />