Laserfiche WebLink
APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> everen 10 8 3 4 <br /> e <br /> CITY ENGINEERS � <br /> EVERETT,WASHINGTON PERMIT N0. I 7 -/�� , ' <br /> The Undersigned�ti�`�/-� ���G ��' <br /> �. Hereby applies for permission to %� ' � i '� f / ' r �i,'« i/ 'r`�f D �- � U r�� �i'14L ��i� c; /i Y' '�, <br /> n. <br /> //L.�f7- ' — 'i <br /> !.t the tollowing location � /! /��_p� . <br /> SKETCH <br /> � (Work to be done) <br /> � � �/G� �D/.�/- "��.1 S . <br /> �� ",:.S _, % ��,: :. , � �� 7� <br /> , Coata-�1 -,� r�,s r»�5�. /� <br /> 1 ��i�,�r. <br /> f- <br /> ✓P.. l,�. , t;,.-. j� �/�� ` _ ', <br /> �! <br /> i <br /> I I <br /> i <br /> � . <br /> I <br /> II , <br /> � <br /> i <br /> � <br /> � The undersi ned owner hereb agrees to hoid and I <br /> DRIVEWAY SECTIJN 9 Y <br /> NO SCa�E save harmless the Ciry ot Everett from any and all <br /> �, 1.� ---� c'aims for damages that may arise because of installa� , <br /> � -�7 tion and maintenance of the improvement hereto <br /> I `I" LIP / I ' <br /> � applied for and further agrees to remove same upon <br /> '� 30" __.. _— -.4.3� notice trom the City and to replace public properry . <br /> �� damr��pe thereby. <br /> i. '° � /�/��'7'��� ���2�P A � <br /> Signamre o A plicant � <br /> ' �/ l �[ !� �„J /���n . <br /> i COPY OF THIS APPLICAI ION TO A�ca�rq}ss <br /> BE POSTED ON JOBSITE. "' 1 � - �C�`� <br /> Telephone Numbe� <br /> I CALL ENGIN[ERING DCPT. 25�J�8817 j-`-�� - �?_ _ ! <br /> I 24 HOUiiS HEPORE CONSTRUCiIOfJ� Date ' <br /> --- _ f,�/.� � <br /> f_, ,. <br /> �, � CHECK UST Fee <br /> Water Valve Dept. ApproV�ls <br /> Drainage � � � ��� i . <br /> ' Curb&Gutter Engineers � I��G��� <br /> �� Sidewalk Water <br /> Street <br /> Communications <br /> �. Inspector's Signature Traffic �� <br /> � Planning � <br /> -� -- - <br /> Remarks , <br /> Note: Original to Customer <br /> 1CopYroFile 'L ��� 4 <br /> t Copy to Inspector Approved by <br /> Date Approved <br />