Laserfiche WebLink
c �ett <br />� <br />CITY ENGINEERS <br />EVERFTT. WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location <br />(Work to be done) <br />�1 <br />APPLIC��TION FOR RIGNT-OF-WAY USE PERPAIT <br />, � t� <br />, . .._ iJ <br />PERMITNO. �� <br />' �i�t, «r a�: , . . , . . . . <br />1 ' • � ".l <br />�._ ,.. , , � �� . <br />�,�. <br />` ,', f ,.fr., b! r<. l� -r�, �-.._ ., _ <br />f c.'-✓r� <br />DRIVEWAY SECTION <br />NO SCALE <br />�— � <br />�� �I" LIP <br />ir30�_— . —_ --.___...—•1•3�1 <br />COPY OF THIS /1PPLIGATION TO ' <br />F?E POSTED ON JO�SITE. �� <br />.: :l L EFiGIFd[ERING DEP�i.259�flL'1 i <br />7� ;IOUR;, 11LFORECONSTRUCTIOf�;� <br />— --� —�t� � --- — <br />Daie <br />flemarl;s. _ <br />Note: Originat ro Customer <br />1 CoPy m Filc <br />1 CcPY tu Insl��:�ior <br />1 i''', �� <br />! _ ,• ' <br />t,.i 1���'� � - �' " , , .J+ <br />The undersigned ownen c�reby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of ins[alla� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and ro replace public property <br />damaged thereby. � �� , • <br />` /', � .. r. — <br />Si9nature of Applicant _ r. <br />� � ir=i � � ?�. <br />Address�,. .- �---�-.-� � -- <br />�_ <br />Telephone Number <br />Da[e <br />� -- . . <br />Dept. Approvals <br />Engineers ._ <br />Ccmmunications <br />Planning — <br />Approced hy <br />Datc Appioved <br />