Laserfiche WebLink
APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> "�`"" 10206 <br /> � �] <br /> CITY ENGINEERS /�— � � <br /> EVERETT,WASHINGTON PERMIT NO.__ <br /> The Undersigned J 0 H N PC T�SA <br /> Herebyappliesforpertnissionto CONSTRUCT P� ' C�NCIZETG D�W � <br /> Atthefollowinglceation ZOD1 KUCK�R /�V,E. -- <br /> SKETCH <br /> , (Work to be done) � �, <br /> � <br /> /3.5' ExI.STING GURB <br /> 40� �J T" S .T �-EXISTIN�� SIDEWALK <br /> - -� <br /> lj , � <br /> � 5 zoui <br /> C ' <br /> I �, NEW COIUC2ETE I <br /> � (�R IVE WAY <br /> � <br /> v <br /> nb sciacE � <br /> � <br /> � DRIVEWAY SECTION The undersigned owner hereby agrees to hold and � <br /> NO SCALE save harmless the City o(Everett irom any and all � <br /> � � 25� -� claims for damages that may arise because ot installa� � <br /> �' I" LIP tion and maintenance of the improvement hereto <br /> . applied for and furt r agrees to remov�same upon i <br /> �JO'�—����_ ._— �.30��.� , notice fro the C' and ace public pro ert , <br /> �}e4 '," damagedt ereb . �`ti� � <br /> � Sig tu of Applicant <br /> 200 ,�' � <br /> !:OPY OF THIS APPLICAI I0N TO �� ess 252 - 3Z 73 <br /> !�G POSTED ON JOBSIT[. ', 1 <br /> Telephone Number <br /> C�U L �NGIN[I RING n[PT �SD�l31;11 ���� �J-/3-75 <br /> 74 � u�� .� B! 1 �)f i_ COP�: � i ,Ci!l�:J� � �� DBt2 _ iYJ i'3�`E9�� <br /> ' ao_ <br /> _� s <br /> CHECK LIST (,' Fce <br /> Water Valve � . pt. Ap rovals <br /> Drainage �f�'���1 �/�_ �— <br /> Curb &Gutter Engineers � <br /> Si�ewalk Water <br /> , j� , <br /> � � � Street�_-^ _ <br /> �� � , � .. � � ' � � <br /> – � � Communications � �' ^c' � � � �'' <br /> Insrector'sS�nawre --� � <br /> I )� Tra(tic - ''�� � <br /> _ / � � i i—/ <br /> , Planning _______ie,R���� � <br /> ('-i _ j; / <br /> _� __—'______ <br /> _ r , .,,' ', , ' _ . . , . :.�. . ' <br /> Remar;s �-. ,t.�• � ..- �i.. <br /> Note: Origina! to Customer � <br /> 1 Copy ro File � r?n s -���� ' <br /> 7 Cupy ta Inspector '4. �P� �L . <br /> '�`(,_��C/�. iGG � _ l� <br /> Date A proved <br />