Laserfiche WebLink
everen �� � APPLICATION FOR RIGHT-OF-WAY USE PERMIT 111,(i,9 <br />� . .. <br />..-- (�� � <br />CI?'! ENGINEERS � <br />• _JERETT,WASHINGTON PERMITNO. 78 � <br />TheUndersigned�l �. ,r, n'���—� <br />H^•eby applies for pertnission to //�/�%?� ��ll,�'¢f' `T—%�/�i'.�'.C1G/i�_ - <br />1t the fo�lowing <br />(Work to be doiie) <br />! G7" <br />2 <br />, �� <br />, , <br />/���.,�� _.1- <br />,:, <br />[671VEWAY SECTION <br />{.�� NC SCALE <br />1 � <br />I i" LIP <br />30'�f.,_,_._—�30 �^1 <br />-i <br />CO"r OF THIS APPUCATION TO <br />6F POSTcD ON .lOBSITE. <br />CALL L'N�;Iid�cRt?1G DEPT. 259-8817 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Guttcr <br />Sidc�vatk <br />Inspector's Signature <br />Remaiks � � � � n <br />;7 <br />z <br />.�i4�`lC /it/G_ <br />.��F/-r ��T <br />3 <br />The undersi9ned owner hereby agrees to hold and <br />save harmless the City of Evereit from any and all � <br />claims for dama�es that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and further agrecs to remove same upon <br />notice from the City and to replace public property <br />�damage hereby, r <br />' �— v./c/�. ' ' <br />Sign tur f Applicant � . <br />i0 L <br />ddress <br />�'�r'�7 77_ 4 / <br />Telephane Number <br />—/ ^ i t�s' <br />Date <br />Dept. Approvals <br />S Vicet <br />Communications <br />Approved by <br />