Laserfiche WebLink
i <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permi! <br />/V <br />At the following location <br />SKETCH <br />(Work to be done) <br />NEW UNCREIE— <br />DRIVEWAY- 21' <br />LLI <br />Q <br />oc <br />IIJ <br />Y <br />U <br />EA37ING <br />51DEUALK <br />to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />A067 <br />PERMIT NO. 74 —/tJ0 <br />a�;Ks, �u2g3 � � rTEiTs <br />— PLANTER <br />/—/YEW C. B. <br />'—REMOV P <br />EXISTINIS I w <br />Q` t—NEW BUILONe) <br />-t: XIS PING <br />WATER <br />EXLS A1VG L/W <br />PLAATr P <br />w <br />/ <br />r <br />¢ <br />MID <br />" <br />YALE. <br />�A&CDNCRFiE3� <br />DRIVEWAY SECTION DRIVEWAY-v <br />NO SC LE <br />f' 27/25 - <br />jI" LIP <br />�3-----r2�? <br />4331 <br />COPY OF THIS APPLICATION TO <br />BE POSTcD ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 1-106113 BEFOCONSTRUCTION <br />CHECK LIST �G-�\%'� <br />Water Valve <br />Drainage <br />Curb & Gutter I IS <br />Sidewalkyzel7,'2 rryQ) <br />_. �67r1' I J� <br />_ctor's Signature <br />9F%.�•^ � NvaT,c <br />Remarks r+ �,at.•iON nwr <br />O rr <br />Note: Onginal to Customer 411r p rl, 1 i( d ar? <br />1 Copy to File 10067 <br />1 Copy to Inspector <br />NEW 51LIEWALKS <br />ST) all?s 5 cdy GUTTERS <br />The undersigned er hereby agrees to hold and <br />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 th fly,. — <br />Signature of 95plitant <br />QAil) k- <br />Address <br />Telephone um br it q' <br />Date--C�—SJf...����'L5•� <br />Fee <br />Approved by <br />Date Approved <br />