Laserfiche WebLink
t; ' � <br /> ' APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> • ���«tt 10 9 51 <br /> � n , <br /> CITY ENGINEERS PERMIT N0. ( � � <br /> EVERETT,WASHINGTON <br /> The Undersigned �- � �" � � � ' <br /> � ,r� s <br /> Hereby applies for permission to L�n ii�$��U c,�.T��� �n N ^� � • � �— <br /> N � S T <br /> At the following location �SO� n�o �.i�f N <br /> SKETCH <br /> (Work to be done) . <br /> SgG l�'IAGHE� . <br /> d,� �� CaJ76��vuT . <br /> �!/ /p�o7�9o�,g 'GJ'.st,�igi c`r'/d o�-•�C /���c e //.'/�'R�ci ,D�jT/ ���y}J/o�' <br /> �� U �� <br /> � <br /> DRIVEWAY SEC7ION The undcrsigned owner hereby agrees to hold and : <br /> NO SCALE� save harmless the City of Everett from any and all <br /> � claims for damages that may arise because of installa� <br /> tion and m ' tenance of the improvement hereto <br /> i" UP ;pplied f and further agrees to remove same upon <br /> I 30" I _L30" potice f m the Ciry d to re �a e public property <br /> �' Camag e eby. � <br /> � Si nature of App ma CyrC�� <br /> fb I /Vr D (!%j�G�.� <br /> COPY OF THIS APPLICATION TO Adp�a�j ^ �3 S �� _ <br /> BE POSTED ON JOBSI7E. Teleph ne Num �r ^� <br /> CALL ENGINEERING DEPT. 259�8811 • ` �S /� <br /> � <br /> 24 HOURS BEFORE CONSTRUCTION Date �SS'< <br /> CHECK LIST Fee <br /> Water Vaive ' Dept. Approvals <br /> Drainage , Engineers <br /> Curb&Gutler <br /> Sidewalk Water <br /> Street <br /> Communications <br /> I nspector's Signa W re Tref f ic <br /> Planning <br /> ate <br /> Remarks <br /> Note: Original to Customcr <br /> 1 Copy to FJe - 1 � � ) � APproved by <br /> 1 CoPy �o Inspectui <br /> Date Approved <br />