Laserfiche WebLink
CITY ENGINEERS <br />EVERETT, WASHINGTONt. 11 <br />The Undersigned bV <br />for permission to <br />At the following location <br />(Work to be done) <br />M <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />` 10080 <br />LLiaM <br />2E"(AT& <br />Lx ISTINGi <br />c. a <br />NEW <br />PILoPo F-0 <br />�. NEW C.9 <br />z.ci 14 <br />"c D ou c, <br />--+ _� <br />� WflLL SI IzC—C—T <br />DRIVEWAY SECTION <br />NO SCALE <br />1" LIP <br />r 30" i 11 FO�30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve ,� � r f -� <br />Drainage _ �r � <br />arb & GDtter �0�� Y� <br />Sidewalk Il <br />Jn ctor's. ignature <br />ems. <br />ate <br />lRemarks <br />Note: Original to Customer /0 �J <br />1 Copy to File 10080 <br />1 Copy to Inspector Approved by <br />Date Approved I /S �� <br />61 <br />PERMIT NO. 74 — (51 <br />So�i <br />J <br />a <br />Q <br />iv <br />NCNI ��P2c�Po5�l� <br />� �( cV. LpCAT/LW <br />C <br />I <br />The undersigned owner 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 installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged <br />magedthereby. Signatur7plicant <br />ofp <br />