Laserfiche WebLink
APPI.ICATION FOR RIGHT-Of--LVAY USE PE!�f1�IT <br /> everetl <br /> � :. �.l �. . '! I � ,� '. <br /> 7;i��'�i <br /> CITY EIJGINEEFS / <br /> 'r <br /> EVERETT, WASIi1NGTON PERMITNO. 'L- � <br /> TheUndersigned_�l �G �'-'t.if� ) <br /> Y.ereby applies for permissi�m to �F�-��Sj �. j � �?;� �� ��'/ L'<-/,�;j�� _ <br /> /�ossu'rN ,q�/E <br /> At the following loca[ion %+'�-��- �3� �-•�.� <br /> SKtiCH -- — <br /> (Work to be done) � � . <br /> } <br /> .._. _ - ._ — — -'- � � ' <br /> �� L <br /> r , <br /> `, ( . <br /> � � � <br /> I <br /> 142 � � I it;.: <br /> �-�I <br /> G,',NSi, �� ��,�i;�� � � <br /> �<� �-"�,'l�^'I�� <br /> i , ! <br /> '— V <br /> '�V �.vsj:-�i% i� • caL���h';'' ,•,_ =`� T <br /> �� _ � � , ,— _ t'� ,; � �� <br /> � �� � �-�: ,� ,� f��_ �_ � <br /> r' - - `�� � <br /> � <br /> � �• <br /> ; : <br /> �/ <br /> , <br /> DRIVEWAv SEC710N Tiie undersigned owner hereby 29rees to hold and � <br /> NO SCALE save harmless the Ciry of Everett irom any and all <br /> f"---�---- ?. � '- --� claims for damages that may arise because of installa- <br /> i ��p ticn ard main��anance of [he improvement hereto <br /> -t-----__� applieri tor and further a9rees to remove same upon <br /> �3g" I ,__ , I 3o'�J no ' e om�the City ar.d to replace puhlic property <br /> T - T <br /> d. ac;� '.F/�re�y. <br /> Si nature u!��yplicant _ <br /> -��`y'--�--�6 �l�i�,_ . �'>��' y <br /> � "ii'Y OF THIS ftiPPLIC/1TION TG i Address „ - <br /> .���. POSTEDON .IOBSIT[. i 3.S - OtS� i� � <br /> Telephone Num�r/ <br /> c;�i.!_ Gn�r-ibl[ERiNGDEPL25:7-L6itI �� _ <br /> —L� b <br /> � '-�, iI�UR'�. iIEFOPE CONSTRUCiION�I Date /// �� — <br /> n y�� <br /> CHECK LIST . Fee �'r`4`- <br /> Water Valve Dept. Approvals <br /> Draina9e � � �� /��� ���� <br /> Curb&Gutter Er�9in� _ ---i�KL�- <br /> Sidewalk / <br /> _ , Wat�r�, .a-�rc�c.'L/�os-t'He. �-� <br /> � Street_ � �� <br /> �' � <br /> __�3=°� / <"�` Ccmmunications�G-�-�� - /- G - ?C <br /> I�r�^-�ctor's Si nature , s'� � �/ . , <br /> � Traffic 4�� ��, <br /> -� % ��J �.' <br /> , . � _ Y / �_ Planning- ! 5 -� <br /> -�ate -- _.- � ' /. .: ..�. 9'/ <br /> . � . - <br /> Reinarks -- -- <br /> IVotc: Original to Customer - <br /> t Copy to File , �'��� � <br /> 1 CopV ro Inspectoi Approved by !�i��;7 ��� ?-- <br /> - ' �L E���.�.._�_--f--`-� � � --- <br /> Uatc Appraved <br />� <br />� <br />