Laserfiche WebLink
;. �;en <br />. �� <br />CITY ENGINEERS � <br />EVERETT, WASHINGTOtJ <br />The Undersigned _jC�C��C!'!l <br />Hereby applies tor perm�ssion to <br />APPLICATION FOR RIGHT-OF•WAY USE PERMIT 11 O 43 <br />At the following location � S' S � v� <br />SKETCH <br />(Work to be done) <br />SE; A'AGI�.�D <br />Z �' �"o �'��%�1"t�ty <br />�'f` ( � rs ,7 <br />DRIVEWAV SECTION <br />MO SCAIE� <br />� LIP J I <br />� 30"� �'3� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8611 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk • <br />Inspector's Signature <br />Remarks <br />Note: Original to Customer �� O�� <br />1 CopY m File <br />i CopV to Inspeelor <br />PERMITNO. � / 5 � <br />The undenigned a� mer hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of install2• <br />tion and m intenance of the improvement hereto <br />applied for nd further agrees to rem e same upon <br />noticetro�tne Ciry and t�la�gNc Property <br />Address - <br />—3_lS-► I �s <br />Telephone Number <br />[ FS�: t � %-�� <br />Date <br />Dept. Approvals <br />Engineers <br />Communications <br />Planning <br />Approved by <br />Date Apc �oved <br />