Laserfiche WebLink
T APPLICATION FOR RIGHT-OF-WAY USE PERMIT 10062 t� <br />eterett <br />CITY ENGINEERS /7-5 <br />EVERETT, WASHINGTON PERMIT NO..- <br />The Undersigned <br />Hereby applies for permission to e�.n K)S T2 <br />I <br />At the following location a -2— C' kE l�4U GS <br />0 <br />AI <br />2 <br />N 3201 <br />DRIVEWAY SECTION / <br />NO SCALE <br />�I" LP <br />1. 30" L <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JCBSITE. <br />CALL ENGINEERING DEPT. 259 8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />i✓1ue to ignawre <br />Wo St^AL-C- <br />33r <br />Ruc KER. <br />100 <br />The undersigned owner hereby agues to hold and <br />j save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant <br />` 3 -� d <br />12C-7C•0 v1 <br />/O /9 - 7 V <br />/v.V I-e0i4 <br />Remarks O —7—%i� <br />Note: Original to Customer <br />1 Copy to File 10062 <br />1 Copy to Inspector <br />Telephone Number <br />Date <br />r <br />Approved by <br />Date Ap ved <br />77 iQ <br />