Laserfiche WebLink
f <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />evcrcl' <br />Q 10577 <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMITNO. 7&—/ 27 <br />The Undersigned CpyG d ne Sty 0&76 <br />Hereby applies for permission to nark c an n k hM c h i le o n c Wr I& 7 <br />At the following <br />(Work to be done) <br />EVERETT AVE. <br />Dre:,,vn byy <br />DRIVEWAY SECTION <br />tI NO �CC`ALE —� <br />I \ t ILIP <br />30„ <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 <br />ICopy toFile 10577 <br />1 Copy to Inspector <br />Sew <br />A PP rvAirn4le <br />foc Ution of <br />16, f3�ok^tcn�fc� <br />Q <br />I <br />Y <br />G TTO <br />t? y <br />0 <br />V) <br />The u,.Jersigned 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 pu¢lic property <br />4ar i <br />aged thereV, . , ( j ) I I • I <br />I <br />Fee No F <br />Approved by <br />r <br />Date Approved <br />�13 <br />