Laserfiche WebLink
" APPUC/�TION FON RIGNT-OF-N�AY UCE PEFlMIT <br /> everett <br /> �\I <br /> CITYENGINEERS <br /> EVERETT, WASIiINGTON PERM1IIT N0. <br /> The Undersigned <br /> Herebyappliesforpermissionto ' ��'?� � �,.�N- • - ' �� <br /> At the following lo:ation_ � �- .�- � - � � '��" -(�, �,-. ' <br /> Si:ETCH <br /> (Work to be dane� � <br /> ;L� ,: , <br /> I <br /> � � cqrz <br /> GAPAGF <br /> c`� � _ <br /> D <br /> r <br /> 4 <br /> � <br /> 'L <br /> J 7 <br /> O � <br /> U � <br /> DRWEwaY SECTiON The undeisi4ned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> I'--– — " --�- � � "� claims for damages that may arise because o( installa- <br /> � �I" LIP tion anA maintenance of the imprwement hereto <br /> applied for and further agrces to remove same upon <br /> �30'�,,,� _ _ _ �_ _ _ . _,+.3o'.'f notice from the City and tu replace public pwperry <br /> Camaged thereby. <br /> Signzwre of F�pplicant <br /> � CUPI' Of- 71�I15 ,1PPLIC.�Ai IOiJ lt) Address - <br /> (;L POST[D ON JOBSIT-L � � <br /> CALL ENGINEERING DEPT. 259�8811 Telephone Number <br /> 24 HOURS BEFOfl[ COfJSTRUCTION Date <br /> CHECK LIST Fee <br /> Walar Valve <br /> Dept. Approvals <br /> Drainaye <br /> Curb&G�ttcr Engineers_ <br /> Sidewalk Watrr <br /> Street <br /> ___ ____ ___ Communications <br /> Insper.mr's Signature <br /> TraHic <br /> Planning <br /> 6ete�- --- �--�----�------- <br /> Remarks _ -— —_. _._______ <br /> Approved by <br /> Datc Approved --- � Q <br />