Laserfiche WebLink
cvcrer <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10907 <br />PERMIT NO. <br />The Undersigned Nan>i> C—racT ev _ <br />Hereby applies for permission to rnti s rr„c <br />7A' -� <br />At the following <br />SKETCH <br />(Work to be done) <br />S <br />DRIVEWAY SECTION <br />�NO SCALE <br />I +I" LIP <br />l� T Iraoi <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />Note: Original to Customer 1 Copy to File 10 9^7 <br />1 Copy to Inspector <br />St; ATA[KSD 1I <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace publicproperty <br />dam ged thereby. <br />Signature <br />9� Applicant <br />muuress <br />-:3gsk—S" 00 - <br />Telephone Number <br />Date f J') / _ z 7 <br />1L To <br />Fee <br />Dept. Appro als ^� <br />Engineers 4Le <br />Communications <br />Traffic <br />Planning <br />Approved by <br />Date Approved <br />