Laserfiche WebLink
everen <br /> APPLICATION FOR RiGHT•OF•WAY USE PERMIT <br /> e so592 <br /> CITY ENGINEERS �� <br /> � EVEREl7,WASHWGTON PERMITNO. %L "� Z� � . . <br /> The Undersigned �"� r I�RY � � r5T ��� <br /> Hereby applies for permission to�$j'B�� n P u� ��4 �� C.- :r r. i1�c f r r �n F � n si �i <br /> oh� - flc , � I �) I ' - r- � - �/r. c' h i <br /> � At the following locaton � (.. L �–�� �• f l, fr �� <br /> SKETCH <br /> � (Work to be done) <br /> .v <br /> � v <br /> r � �, <br /> �1�� q b �ndon t xi S t�n9 � �I� 3 <br /> �-�.:r- I <br /> � <br /> , +'- a <br /> \ � � <br /> Ed,s t fi�y d � <br /> SHvt, t x ,t <br /> � y'( I <br /> . — — _. -- �''t4�", __ c• \ <br /> ' —� I <br /> _�f �n5fdl( 3��{„c„r,Ye� �+' � <br /> Li.,e . 7 ' ;c„tl� � <br /> i I i <br /> �lo o Q� i <br /> �h,�,�Ff ru a ; <br /> I. �hct�l2d '', <br /> il <br /> NatQ � WatarL�n¢ E S��'er <br /> ��'ne �0 6e cc�ar0 <br /> -�Or a m�n�mVyr. O� 3. � <br /> I � <br /> I <br /> I <br /> DRIVEWAY SECTION The underigned owner hereby agrees to hold and <br /> � NO SCALE save harmless the City of Everett from any and ail � <br /> � � –� claims for damages that may arise because of installa� ' <br /> � �+�����P�, tion and mainrenance of the improvemen[hereto � <br /> � a�plied for and further agrees to remove same upon <br /> , 30" I _______�„30" I notice from the Ci an to replace public property <br /> T— —.� <br /> � dama ed hereby I, <br /> I <br /> . S o plicant � <br /> �l�U �g 77k���� -<Fa�W, <br /> ' COPY OF THIS APPLICATIOhJ i0 � Address �� <br /> �� BE YOSTED ON JOBSITE. � C� ���=3�3 Q � <br /> CALL ENGINEERING �EPT. 259�6871 I Te�ephone Number �� <br /> 24 HOUf�S BEFORE CONSTRUCTION� Date � <br /> , ; <br /> CHECK LIST Fee � <br /> wacer vaive Dept. Approvals <br /> ' Drainage �. <br /> ' Curb&Gutter Engineers '� <br /> � Sidewaik Water�.\)Wu ��t.L> Nl c�rr�u - �c –�,�t,�Ilb '� <br /> 'i ._ </b ;�,vc i'I��.A�v:.U.- `�Il..ti(✓ 0�- ,��ci�crrU $Lf8@[ �li� ? �� -� <br /> i <br /> qi- v:,. �7,r�.nu� �i= Jn'c N:S <br /> . Communications ' <br /> ' Inspector's Signature Traffic <br /> ' Plannina �7 <br /> at�e-- =�...;.v_x�L t�-� G. THc,ti.�pc�� ��_I��, ' <br /> Remarks <br /> Note: Original to Customer <br /> 1 CopY to File '� ���2 ' <br /> 1 Copy to Inspectnr Approved 6y <br /> � Datc Approvcd . . <br />