Laserfiche WebLink
everett <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />,:.::� <br />1t;695 <br />PERMIT N0._`/� 7r 4� <br />TheUndersigned_ ����� ����•,•�' � <br />i <br />Hereby applies for pertnission to ��� sf 7� i o�i �/�` /1 /� / - <br />� <br />At the following location =�?-/�-- i%- 3 n`� •-Ct ��� /'� �-'�i�i�_ ���'�-'-� <br />- . � <br />' n> <br />SY.ETCH --r-a. !)�PS ri.�� ��»w st�.� �a�n�9e� � I� <br />(Work to be done) � l ?7 � G. �' 'J'� <br />y <br />_,—. <br />. ,_ <br />-- __>� - <br />. � <br />�; �'): <br />y'�r.i <br />,:a �l�.d <br />z�!4 c, yN., ,. <br />�oT � g�i:,3 r�Kerl�rar <br />,;��✓. n <br />e <br />5(oPi'."J l��RuvR[t <br />S,d� Y�.J <br />H�;.r,Au / ,J� Ix.„..-..,;z�_�t,, <br />�,i� / v, i�-� jh� J.����..:y n:�, ;/..° <br />i v� , ��< < r r�,,. ,,,i t•- <br />� -�,r„ <br />�S. � i�>rp9y�� On l.anb�,.'rJ ��no�l�i. ��nJ�aF�i C'It �(�,.� <br />� d 4�•:firL��VPro�/ev�. .;[�thr `/�.{�M+�i' <br />!_ o��GA�? � <br />DRIVEWAY SECTION <br />NO SCALE <br />r ---7J� <br />`I�� LIP / � <br />i-'0'=1�----r ------i-30„ <br />COPI' OF T41!S APPLICATION 70 <br />EtE FOSTED ON JOBSITE. <br />!:ALi. ENGINE[RING UEPT. 253�8871 I <br />�;"-4:'OURS QLPOR[ CONSTRUCTIONI <br />CNECK LIST <br />Watnr Valve � <br />Drainage <br />; Curb & Giitter <br />�. Sidewaik � <br />i <br />�� � � <br />i � I r � _<-'' /,^.l '.,,.�� <br />p�� ct �s Signat Ye , <br />� � /� - 7 j ----- <br />Remarks <br />Note: Original to Customer � O��� <br />1 Copy tc File <br />1 CopY tc Inspectr- <br />� <br />f1 s �✓a r� � <br />� I I <br />r <br />1:. I � i <br /><,, I ; I <br />'1 <br />The undersigned owner hereby a9rees to hold and I �I <br />save harmless the City of Everett irom any and all '�- i <br />claims for damages that mary arise because of installa- •. <br />tion and rriaintenance qi the improvement hereto �, <br />applie 1or� qd furtha�F agrees to remove same upon . <br />rroLce from}Re City�nd to replace pu6lic property <br />I�iephoneNumbe� � <br />� '---� �=—�� <br />Uate <br />Fee <br />Dept, Approvals <br />Engineers _� _� <br />:,�� � �. <br />wac�� �� .0 � �.c_ „�., C„_ <br />� <br />Street _ _ <br />Comm�nications_ �' <br />Traffic _ ._ <br />Plunnin9 <br />_ ' � I t,t.�!v n,n/ M � _ ) �- . � <br />/ <br />Approyed b�y� ' q " _...—_ ......— ,, <br />i <br />_ � ��� i �i.�.,� . .---- �� <br />Date Approved <br />