5404 W HIGHLAND RD 2016-01-01 MF Import

everett � CITY ENGINEERS EVERETT, WASHINGTON APPLICATIi1N FOR RIGHT•OF-WAY USE PER691T PERMIT The Undersigned �" t"� L' 1�'� � � � 1� � j j' a �� i i '�/, . n Hereby applies tor permission to r� t �- t, r - �- At the following location — ,, .. �, �,, t , ;� , lWork to be done) �� i ' �I ,.i . . _`- — i ; � � sana ,�� , � , ��-f;n� � � I� �'�y 1 _ o/•r , ,_ � --1: - � ',. i � � . .� �.. �y. � .� ' _ • _. i Mew 1:, r�" _>wer m;;rn ; n , ., f.f !'. �� - �.�.:u,• � i, DRIVEWAY SECTION NO SCALE �— I.,, _ _ ._ .. _ _._� +I�� LIP � �30�_.—.—_—_._ —^1•30,�"I COPY OF THIS APPLICATION TG � 8E POSTED ON JOBS�TE. CALL ENGWEERING DEPT. 259�6° 1 �, 74 I IOURS (3EFORE CONSTRUCTION i CHECK LIST Wa�er Valve Drainage Curb & Gutter Sidewalk � ��✓�%=.�LTr.y____— T Inspector's Signature � �r� o, i�7 �:, �ate iiL - � �.y�:.r'ti �� +�^--�.- " Remarks Note: Original to Customer � � � � � 1 Copy to File 1 Copy to Inspr.ctor _I.� -� - � - � ~ � I I _ f,L � � ' i�l , _. .� �- The undersigned owner hereby a�rees to hold and ,� , �,; save harmless the City of Everett from any and all claims for damay. 'hat may arise because of installa� tion and main[enencc of the improvement hereto applied for and further agrees ro remove same upon notice from the City and to replace public property damaged thereby. � - i j � Signature o�Applicant � - / Address '/, � Telephong Number _ , /_ /'i /G Date fi � ��1 Fee Dept. Approvals Engineers_.�.— — ---- Water �S `� �:�% � � � Street �_ . ,,.� � � � i E commup;��.- — Traffic_�' � �" � � � ,I�r1.; Planning_. � ��i_. ` � , .� ''ii? - ��_.... . . Appraned by `�—�, � �,� � I � • -- � - _��_ Datc P,pprwed ' I.