Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> cveretl <br /> � <br /> CITY ENGINEERS � <br /> EVERETT,WASHINGTON PERMIT N0. , <br /> The Undersigned__- � " �--- � . <br /> Heieby apPlies for permission to . . � .. �.. � .- ,.: .� —.- .--:._-.. .�...� -. / �,'� i . a'; ,"% . <br /> � - � - � : i - I.; v � > � � [ � - i-� <br /> — _ i <br /> Pt Jirfollowinglocation ._�' � �� �-=h'1 r- — <br /> SKETCH <br /> (Work to be dane) - ._ <br /> ,`; , <br /> ,. <br /> o� <br /> DRNEWtY SECTiON The undersigned owner hereby agrees to hold and <br /> No SCaLE save harmless the City of Everett from any and all <br /> f� --- - - -+I claims for dama9es that may arise because of installa� <br /> r,, ( " L P tion and maintenance of the improvemr.nt hereto <br /> L� applir.d tor and further agrees to remove same upon <br /> � 30�___r-- 3��� notice from the City and to replace public property <br /> � damagr.d thereby, <br /> �� t-;:�t.-�vG:�" C? c r ir� � 5�nf/-[.1�Yt k <br /> �_'� �f�L�i� �s �J�J/`�i<- _ � Signature of APPlicant - <br /> �� , .,, <br /> , i (. <br /> �.� ��'Y OF THIS APPLICl1TION TO � Address � ��-);� L�- � <br /> � � � tl <br /> ��: !�OST[D ON JOBSITE. Telephone Number <br /> . ".I.L ENGINEERING DEPT. 259�8811 II � : � � _,_ <br /> � �� ifOURSBEFORfCOPJSTRUCTION�' Date .� <br /> ICHECK LIST Fee <br /> f — <br /> �PJ.�ior Valve Dept. Approvals <br /> Dnuiage <br /> � Curb&Gutter Eng�neers--_ .-----. .--- — <br /> � Sidewalk Water <br /> Street <br /> Ccrnmunications __ <br /> lispc�tui';Siqnotuic I�af�ic <br /> Planning_. __ <br /> Uatc _— <br /> !L�r•�.�i,_�� <br /> — � <br /> ��,�provedhy � -' <br /> � � � -;4_ f. <br /> -r `- <br /> �, <br /> . ..�� ,A�,uioved � - <br />