Laserfiche WebLink
-_—_ <br />�� i�ver:�u <br />`� <br />.;1 I1' l:NGINLLHS <br />[VFRLTI-, VJASHINGTON <br />APPLICA'TION FOFi RIF..HT-OF-WAY USE PEflMf� 1� 13 9 <br />P[RMI7tJU.__/.J.._J/ \ <br />?hc Undeici�ned . -.�....-.-=L.:-�'_-Il-�-�-�1[' ' "`- - '1 ' `: � � - --- .. _. <br />:.v.'�:;:._�.::�.il[. Jslr_•_t_!:- l�_�ls_1�1[L<'= _t_1I5�---.. <br />� a ^.,. �f_ �r�r.� .� :c-' .r,:�}11 7� ��,i onLIIN���1?�'OLr�2__ <br />Harr6 • ap{:lics 1or cimixsion to - —+'� --- <br />/ ji' / <br />��...�� ,r <br />«;_� t(1 __1_.._�YJ ...— ."___-__ _-_—'__._____'_—_.—__-_- -. _ _ <br />. 1-------- <br />At !hc Inllnwinc� localion_ SIL;�.�-- .-Q-+v:-l�li�. _- i'��1_ _ _ __ . _ . . . _ _._._ __ . _- . -__ _. - <br />SkF.�iCI-i --..-_._- . <br />IWork In be donel <br />- _ s<• "'sr <br />DRIVEWAY SECTION <br />NO SCALE <br />� . . .. __ ____ _ _. .. .J <br />I <br />� _ �.I:��I.IP-__ _--_�� <br />�30,�-=� - _-__ _ .- �30�"1 <br />_ _ — — .— <br />COPY OF THIS APPLICATION TO <br />BE POST[D ON .IOBSITE. <br />ICALL [NGINf.FRING �EPT. 7595811 <br />24 HOURS OEFORE CONSTRUCTION <br />( --------- -- - ----- <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb R Gutter <br />Sidewalk <br />� Inspector'sSignaW�e <br />baU: _ <br />- - - --.. ___. <br />Hrmaiks - . . - - - --- � <br />... -�.�_��:J <br />�_ <br />lnn:�a�t � <br />The undersigned ownr.r hereby ac�rces to hold and <br />zave harmless the City of Everett from any and all <br />clainu for dama9es �ha[ may arise because of installa- <br />tion and rnaintenance of the improvement hereto <br />applicd for and lurthcr agrees :o remove same upon <br />natir.e irom ihc Ciry and to replace publi ropeiry <br />dama/���1_thcre {/(' //� � <br />MYL �`� 1���� -:r..<_ G��F� <br />Signa!ure o�Appf%ant ��/% <br />_/'[�- o _ �_�_��. e � v f � _ ._ � <br />ndd��s5 � <br />/.!v'�� s /, � �� U <br />.,....� .................._. , <br />,� sJ--,.S_7.L___ _ - <br />Dalc 2 j � n/ <br />��=a � <br />Fec • ” � U.�. /%�%� e G �/�� <br />$.a.,,.�,.��t. Ap.Qrovals--:-=__ =-:. <br />/2 ' <br />En9inecrs---- --._---- — <br />Walcr_. _-- -- - . -- <br />St�cal <br />Communications <br />Traffic___ ._ <br />Approved by <br />. _. _ .. _ . . . ---- ------------p <br />CUSTOMER p;ite App�oved <br />