Laserfiche WebLink
- s . <br /> �� <br /> . APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11627 <br /> �' � � ���,,��1��� <br /> CITY ENGINEERS PERMIT N0. �J� �" �S ` <br /> EVERETT,WASHINGTON <br /> TheUndersipned T, ��T c rn <br /> Heroby qPlies for parmicsion to ( L o s t .�,'�' x � `"' � ' �!"� ` k� � `�T S�Or � ' '� �A �i'� /�''E <br /> r-^ � Ar�y�i�` � > , r�a c- �c� �� a�� � r r ..�N -ic�cn � . r�,asoivc <br /> At the following location ' �t� A ��o T� PA L�C � 7o R <br /> - �� �Zr3rLz� n.v I' irv A't'�V�L <br /> i <br /> SKETCH <br /> (Work to be done) <br /> ii <br /> � ✓.. r�- ---..------- ---•-- — - -- -� <br /> I �.VI`�7�N� � �1:`•��, ., 3ni��' I � <br /> � ��r� r. o,.i. I._.—._..� <br /> , IT. � :r.� C�.. spr�i � . . (' . . ' :� . . . . r : <br /> ,r . ,'.�.,� /�''A'4k.. <br /> i <br /> � G�nNn ilve <br /> �v .,. ,. . �'mz n r,�,; . -- - <br /> E_..�.�U.--------- �.___. _ —•--- <br /> �l 9��� TR, � l �� C�f_�i7 Ry,�U�� ,l3t_`Tl,��E1=�t'J -" ,. <br /> C c It� T� �,7. <br /> �'G��t%c G �" �3,�'B� ND /1rtJl� z�GC o� <br /> T1��3!�..E"R , <br /> _ . _. '� _ _.�r .... . . . , , . . - , ,s_, <br /> DRIVEWA� SECTION The undersipned owner hereby eprees to ho!d and <br /> NO SCAIf. save hartnless Me Ciry of Everett from any and all <br /> i � — --+{ claims for demages that may arise beceuse of install�- <br /> �--�,,' L P --� tion and meintenance of tt�e improvement hereto <br /> i � �i' � applied for and further agrees to remrne same upon <br /> ' 30 � 30� notice from the Ciry and to replace public property <br /> �� —� damaged thereby. /1 <br /> ,_. _ � .�A� }i k� ��t.' ' <br /> Signaturc of Applic8 t � , <br /> �l�Z �L)���� '.1 �/ti:l�:'.::� Sl� �l- i <br /> COPY OF THIS APPLICATION TO Address 9f r_9u <br /> BE POSTED ON JOBSITE. 5�,-5� ,.�H�� <br /> Telephone Number <br /> CALL ENGINEERING DEPT.259-8811 I�:- �I - 7�� __ <br /> 24 HOURS BEFORE CONSTRUCTION Date f <br /> N 7 i-.�," <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainpe <br /> Curb di Gutter Engineers <br /> Sidewalk� � Water J � <br /> � �^ - <br /> Sireet ! <br /> Communications �� <br /> i <br /> 1 spector'sSignature� Traffic L <br /> Planning � <br /> /- 3 / -- 75 _ �,. <br /> �� � <br /> Y�%� % <br /> Remarks / <br /> 11627 / ) � <br /> qPProved bY ��11_'//2 �/ . ,�!� <br /> F � <br /> Date Approved�/ ,(�j � <br /> IN�'CF'S COPY � � �'� <br />