Laserfiche WebLink
^vcren APPLfCATION FOR RIGHT-0E-WAY USE PERMIT <br /> . � <br /> Cll'Y ENGINEERS <br /> EVERETT,WASHMGTON PERAtITNO. � <br /> The Undersigned � - � <br /> v <br /> Hereby applies for permission to___ ( - -�/ia r .4� /)�• � - - - � , � � � <br /> At ihe (ollowing location_ �'4 C' � T� y � � �- �.' � T��� �� <br /> � � i , <br /> SKETCH <br /> (Work to be done) <br /> 'e � � <br /> �. - "-.'.-.�--.-....,._. ( <br /> ""'.�.----�.�.. <br /> . � � }� <br /> ;�� �9 ,�,��� <br /> � ,� <br /> ���,� <br /> � ,,,__. _W__._� <br /> , <br /> r <br /> DaivEWUV SECTION l-he undcrsigned owner heieby agrees to hold and <br /> NO SCnLE save harmless the City of Everett from aiiy and all <br /> � � �- -'j claims Tor damayes that may arise br.cause of installa� <br /> I" LIP tion and maintenrnce of the improvernent hereto <br /> applied for anA fivther agrees to rrmove same upon <br /> !30'� _ . _ . _��3o"�J notice from the City and to replace public property <br /> damaged thereby. . <br /> Signature. of Applicant � — <br /> ___ . . ;7 . � _l.o. ,. ,� �.,.�„-�. . <br /> � CCPY OF 1 NI; APPI_ICAI IGN TO �i Add�ess <br /> ��� l3E POSTED ON JO[3�ITE. <br /> � Telephone Number <br /> �, CALL ENGINEERI�'G DEPT. 259�8811 - �='- �� �;r <br /> - �^_' <br /> , 24 HOURS 6EFORE CONSTflUCTION Date - <br /> CHECK LIST f-ec . ------- <br /> Watar Valvc <br /> Drainage <br /> Dept. Approvals <br /> Curb&Gutter Engineeis _ <br /> 5idewalk <br /> �- Water <br /> Street <br /> - Communications_ <br /> Inspec r's Signature Traffic <br /> ��, p I�� �� Planning — <br /> I <br /> ate <br /> Femarks --- <br /> 11233 - <br /> Approved b�� � � <br /> ---_.. — �-------- - <br /> Da« 4��ro�ed � <br />