Laserfiche WebLink
APPLICATION FOR RIGHT•OF-WAY USE P[RMIT <br /> � everett 1 0 6 8.� <br /> � ;_ ,� - ii <br /> CITY ENGINEERS � �+._z�j $ <br /> EVERETT,WASHINGTON PERMIT N0._' � <br /> � / <br /> The Undersigned/�� �� � ' 1 . <br /> Hereby applies for permission to_�.r "� ✓ "� � �� � ' 'Zr V�� � <br /> At the following Iceation ✓ r' '' �' - -�`�"' _�" -— <br /> SKETCH <br /> (Work to be donel �� , <br /> \ <br /> � i <br /> I � <br /> Pvtr�n �,� !.o•'. %t3 G_ <br /> •', <br /> %V (, <br /> 1 \\ ',f`' a <br /> �� ��_ � <br /> .\ `�' <br /> ( I <br /> , 'll l I ,- _ _� 'it � �. <br /> �,��. Lii� I j�� u �'��� ��,�j����� . � T,� <br /> � . . � -�� ..�� � <br /> , , . . I �� �' ��\ � — � � � <br /> i � �4 � � \ ' r ,� � <br /> . � ' �J • Q1.h , � �\.� ._'-�'i. ..:Pa-,�< < �� <br /> . O �� �o� �.� \ , <br /> __--�r'� v . � � <br /> O • `> % <br /> ������ �� ' �] N_�.e ��p SP.UfrS <br /> - �n fh�5 9✓eJ� <br /> , i <br /> �. ,—__" F'v_v�nr55ron �7C:ln� I <br /> � <br /> _ / ,� i <br /> I)y0 �5�� Y(r✓ <br /> � ��ll` �jM� <br /> ( �i1�[.rY�. I <br /> !._--�_.___. _--.-��--_-_. -.. -__.. .��, r-:�- ,- . _ . " . i <br /> DRIVEWAY SECTION The undersigned ownur hereby agrees to ho J und ' <br /> ' > �` 5 `� savv harml�ss the Cit�of Everett irom any and all <br /> NO SCALE <br /> � --- .----� claims fo� damages thzt may arise because �f installa- , <br /> tion and maintenance ot thc improvemem hereto <br /> I� 1��� ��P � applied for and further agrees to remcve same upon <br /> I�30�� __ I 30�' notice from tlie City and tu rephce pul�lic properry <br /> —T_ i <br /> dam��hereby. r � , <br /> ��.ct.t �». y__�� <br /> Signature nf ApP�icant <br /> __ L�''�H`i'/ ����q4 S° ' <br /> COPY�OF THIS APPLICATION TO � Address� <br /> 6E Pi)STED 6N JOBSITE. , ��� �yv � <br /> Telephone PJumber <br /> CALL Gi�!GINGGRING DEPI-. 259-6k�11 � 3 O��"'��� <br /> 24 Ii�IURS f?[I�URG COASTRUC".10�:�' Date � <br /> - � -�9z' - <br /> CHECK LIST Fee � � .� �?�,( <br /> Water va�ve D"ept. Approvals <br /> 9 � q <br /> Cw�b�&Gutter Engineers � U:I'.�u�` �/�_2.— <br /> Water ._- ,� . 1�.� 77i�� ,��! .�m_.:�.c= <br /> Sidewalk .�=;-J-1 , <br /> ) Street - <br /> � .i/T�A,dL--�. -[t Communications �� <br /> nspector's ignatwe� " `" � Tratfic_._ <br /> X�"� � � Planning <br /> �IL�! � -- �_.., i <br /> �% _._ � �a .� %� .t+.� ,-.,/.��4�. <br /> '� �/ : <br /> � <br /> Remarks <br /> Notc: Original ro Customer <br /> 1 Ci�p; to Pile ���y�;3 �� Approved by <br /> 1 CuPy ic In=pector <br /> Date App�wed �— <br />