Laserfiche WebLink
everett <br />� <br />CITY ENGINEERS <br />E'JERETT, WASHINGTON <br />The Undersigned _ � � <br />Hereby applies for permission io <br />At the following <br />(Work [o be done) <br />APPLICATION FOR RIGtiT-OF-WAY USE PERn!iT <br />� I .�.,� � <br />� ! +.. � l:',J •; ) . :;i-Cl, E'_ -; <br />PEIiMI�NO. � � � '� <br />DRIVEWAY SECTIOIJ <br />NO SC4LE <br />r- -- -�� <br />+I•' LIP � <br />�30'Y•__. _ —._-_ ---�+30� <br />COPY OF �iHIS APPLICATION TO <br />8�'_ ?OSTED ON JOBSITE. <br />CALLENGINGERING DEPT.259-8811 <br />24 FIOURS FEFORE CONSTRUCTION <br />CHECK LtST <br />N'ater Valve <br />Dr;inage <br />Cur6 & Gutter <br />Sidewalk <br />i� �� /�� t � <br />Inspector'sSignature � — <br />, <br />i� <br />` <br />Remarks <br />The undersignud owner hereby ag;ees to hold and <br />szve harmless the City of Everett from ary and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement heieto <br />applied for and further a9rees to remove same upon <br />notice from the City and to mplace public pioperty <br />.damaged thereby. _. <br />? iL 1 � <br />Signa[ure of Applicant � — <br />— � , c�CJ ' :_i <br />_ ' '!. U -' '. _' 1 <br />Address <br />� _ )-Z�/u t..�Grcjl'}�' <br />-i � <br />Telephone Number ' <br />/.� 7 �� <br />Datc -- <br />Fee <br />_ DepC. Approvals <br />Engineers ____ _ __ , , � ( �, <br />-� ,, <br />APProved by�, r� � <br />�, t �� ��' <br />��'��� f�i21�1 r i � ��; <br />o�t� ni»ro��d o <br />