Laserfiche WebLink
cverett �PPLICATION FOR RIGHI-OF•WAY USE PERMIT �1�6 '7 <br /> �-�� 6 <br /> � <br /> CIIY ENGINEE'�S � <br /> GVERETT, WqSiit GTON PERMITNO. �I8 "Z�7 <br /> The Unde�siyned `���---���� �/�°�/�%]F'/ /� il.. <br /> Hereby app�ies for permission to G G>�J!>�y? 2'� 1=� f�<�('�y��.L — 7��(L� <br /> At the folloa�ing loca[ion ��/Z �— ����, S'�� <br /> SKETCF! <br /> (Work to 6e done) <br /> � �� � c ��ZC� �ir�.�, <br /> ��L���:f �.c. �/ <br /> � <br /> � � '� <br /> ^ 1 ��1 . <br /> � I <br /> . � ���' � <br /> DS�vEwAY SECiION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmiess thc Ciry of Everett from any and ail <br /> � -� claims for damag�s Ihat may arise because oi installa� <br /> r� t i" LIP �� tion and maintenance o( the improvement hcreto <br /> �30 gp•� applied forand further agrees to remove same upon <br /> �� -- nf(ice (rom the Ciry and to repJace public properry <br /> dam.ged thereby. / <br /> � <br /> ��(� �' �� `o_ : ��•/ �+.. ,F <br /> �/Signature of App ican � <br /> ,•_ „ / �j <br /> -- - , l / " � - _�2 �r'� / <br /> CO'Y OF T:IIS F�PPLICATIOfJ TO Address <br /> 6[PQSTED ON JOSSITE. �1![=�'L 7 � ���//,� �'�'-1C j <br /> Telephone Number <br /> CALL Et�r,I�J�ERING DEPT. 259�8811 •� ��� � �i j �` <br /> I24 HOURS BEFORE CONSTRUCTIO�V Date <br /> CIiECK LIST Fce <br /> 6'damr Valve <br /> Drainage Dept. ApprOVals <br /> Cwb&Gutter <br /> Sidowalk Engineers <br /> — Water <br /> Strcet <br /> — Communications <br /> Inspccmr's Si9nature <br /> Tra(fic <br /> Planning <br /> ate <br /> Flcmar7:s --- <br /> �. ].3 G 1 <br /> Approved by <br /> eU57oM8R Datc Appraved R <br />