Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT r <br /> everett 1�U 5 2 <br /> e <br /> , CITY ENGINEERS PERMIT N0. I�- - � � � <br /> . EVERETT,WASHINGTON <br /> � The Undersigned - � ' � � �%�� �/ � <br /> ?�'' /'a f !�� I <br /> I Hereby applies for pettnission to 1�.� � �� <br /> �r At the tollowing location � 90 Z � T31 -1 ' <br /> � SKET6FF— " i <br /> , (Worklto be done) _�� -- �,� _----�_``\\ I . <br /> � <br /> i <br /> �� �W <br /> � "' S....... <br /> � i �_. i <br /> , , = '�� P,�,,��,��, ,.-;. , <br /> � � i� �' ��� <br /> , % <br /> i � <br /> ,� ,� � . <br /> , <br /> � � .,,.� �� <br /> � , / . `� O� i � <br /> , � n O/ y! <br /> o '� <br /> ' � - ,7 U_ i <br /> o .:.��/ _ <br /> � ;;� ..� ��,/ <br /> , �� ��� <br /> , , <br /> -�, <br /> l ; 4 <br /> I � 1�., � <br /> I \ /,V <br /> � � � � <br /> I , � <br /> �i �r, � <br /> I \ � <br /> I � ` \ <br /> ( \`\ 1/ <br /> I D VEwAY SEC710N �i ne undersigned owner here6y agrees to hold and <br /> `NO ScaLE �� / save harmless the City of Everett froin any and all <br /> I � —.{ �' claims for damages that may arise because of installa- <br /> tion and maintenance ot the improvement hereto <br /> I" LIP applied for and further agrees to remove same upon <br /> I 30'�__ ___— I 30� I notice fr the City and m r place public properry ' <br /> ------'T'--'1 <br /> dama d.ther b . � <br /> ' ��./�.!-� _ . <br /> ure oi � Y <br /> �.�2�C Q <br /> I COPY OF THIS APPLICATION TO � Ad ress � � ' / <br /> � �E POSTED ON J06SITE �� �', - u � <br /> Telephone Number <br /> I �CALL ENGINEERING DEPT. 259�8871 - : ' <br /> 24 HOURS f3[FORE CONSTRUCifON� Date r: ; �e <br /> � � �_ �.7�` �i iJ <br /> �� CHECK UST Fee ' <br /> Water Valve Dept. ApproVals I <br /> �, �, <br /> Drainage •J �;, ' <br /> � Curb&Gutter En�ineers��" . , <br /> Sidewalk Wate����7�GtdL- ,'�4��� , <br /> ' Street � � � ��� �7 <br /> Communications '� n'�`* �- -� % �I��.J`� <br /> , <br /> Inspector's Signature Traffic ', <br /> � Planning'1 ' r � �� <br /> 513�3Yic_{�5.--1"k9r' ��i� � , <br /> �te- <br /> Remarks <br /> , Note: Ori9inal [o Customer � ��� � <br /> 1 Copy to File qpp�oved by . ' <br /> � t CopY lo Inspector � �� <br /> � Date Approved <br />