Laserfiche WebLink
APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />f\".'fl'11 �7 r, <br />� .� ii 19.: <br />CITY E� ERS 7 / <br />EVERETT, WFlSHINGTON PERMIT NO. �� / � <br />The Undersigned VC.�'/�LU -1�-��l)Ty�/�� <br />Hereby applies for permission to �i� I/� /�!-�/C'.�//1�� �)T'�/-% L�f-� /�l �.. ,L i� <br />At lhe following loca[ion 37/8 ROCfiEFE'LGEK /-� 1/E. /-� C� � _ <br />SKETCH <br />IW�rk to be done) <br />NO SC�1L� <br />37/8 <br />�,a,cYD) <br />ALLEY <br />DRIVEWAY SECTION <br />NO SCALE _,,J <br />I <br />i <br />I 30" �,� <br />i_ i __. ..—_ _ . ___._ i <br />�I COPY OF THIS APPLICATION TO l <br />, BE POSTED ON JOBSITE. <br />', CALL ENGWEERING OEPT. 259�8877 <br />�'?; II(�i�ll� fsCFnRF CONSTHUCTION� <br />CHECK UST <br />wa[er valve <br />Drainage <br />Curb & Guttcr <br />Sidewalk <br />/ . � 1. � �� �,� <br />_.�; , � (, , <br />Inspector's Signature <br />I , / � (; <br />ate <br />�\f - I ..'i� � . . . \ . <br />Remarks <br />� �'DCf�EFEL LEP. AI/E <br />-Fx�s r�Nc� s���?��n/,4L.K <br />ANi? 571�/��S <br />NEW CyTL�H B�)S/N <br />Eln/ /�AVED P.qiPK/NG A�2EA <br />Tlie undersigned owner hereby agrees to hold and <br />save harmless the Ciry of Evere[t trom any and all <br />cl, ims for damages tl-,at may arise because of installa- <br />tion and maintenance of the improvement hereto <br />. pplied tor and further agrces to remove same upon <br />notice from the City and to replace public pro�rty <br />dama icre6y. � '--- <br />� i <br />:w,., , ��� n..,.r��.. <br />Date��, ` ��� <br />S ND �i�.E <br />ij Fce <br />� �e t. Appr _vals <br />Engineers ' � ��Z-�-!��c.� .�� l�' <br />Water / <br />Street_�;T�" -`� <br />Communications - ��'�• -c.99 - !'��� �' <br />Traffic �� '� � r <br />� / ir � <br />Planning S <br />Note: Original to Customer <br />, coPv t� F�i� 10 Z 9 3 _ <br />1 CopY to Inspector APPfO° �� � �`:— �-/ <br />��,, . , :,._ �., <br />Da� Approvec) � � <br />