Laserfiche WebLink
.. . _ . . . <br /> , /4�����n APPLI�ATiON FOR RIGHT•OF•WAY USE PERMIT <br /> � � . 11013 ._ _ . � �� i <br /> _.. , <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON ' PERMIT N0. ��' <br /> TheUndersigned Df//-�/�// X!i?r' <br /> Hereby applics tor permission to __C ONST/; ,� T .=7 ^. �"� /y�I'/I n�[..7'" �j�t �/ <br /> At the following location � /�-`� ="��'"d`(? � J.'' <br /> SKETCH <br /> (Work to ba done) <br /> SE_'. r'1'i r/+c. th�v <br /> � <br /> DRWEWAr SECTiON The undersiyned owner hereby agrees to hold and <br /> , NO SCAIE� save harmless the City of Everett from any and all <br /> r------ claims for damages that may arise because of installa- <br /> �i^ ��p �� tion and maintenance of the improvement hcreto <br /> ' appljedfor and further agrees to removc same upon <br /> �,,.,l0�____� 30'� n�,�ce f�r om the City and to replace public properry � <br /> d ag b thereby. /� <br /> � . � ��. �'. � �%.�.j--f.�� <br /> Signature of App�cant <br /> ��� �i� /� �?�%` S ti.� <br /> COPY OF THIS APPUCATION TO Addressl_�. _-��,�r j S� d c y <br /> BE POSTED ON JOBSITE.. ',,,3J -� � � ,y �, <br /> CALL ENGINEERING DEPT.259•8811 Telephone Num r� <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECKIIST Fee%S �' <br /> Wster Valve . Dept. Appr vals <br /> Dr�inage ' <br /> Cwb&Gutter , Engioeers—_C_[f.L� �c _� <br /> Sidewalk <br /> Water <br /> Street <br /> Intpector's SiBnaturo Communications <br /> TiaffiC <br /> Pla�ning <br /> ate <br /> Remerks <br /> Notn: Oripinal to Customer <br /> 1 �opy to Fiie 11013 <br /> 1 Copy to lnsprctor Approved by <br />