Laserfiche WebLink
i <br /> APPI.ICATIOf� FOR RIGNT•OF-WAY USE PERMIT <br /> C�'CICfl� � 110 71 <br /> ) f�!' <br /> ar:.d <br /> .,,_.�� <br /> CITY [NGINEC4S � • <br /> EVC�IC-TT,WASIIINGTON . PERMITNO. �7/� �• <br /> Thc Undersigned�1�1�/i�> �/��/',��vn/n� � � <br /> Hercby applics for permission to GO NG'TR✓ ,i d} _� � � <br /> At thc following location�_Qp �- GFq-�./yf.S i <br /> i <br /> SKETCH � <br /> (Work to be done) � _ . . � � . . I � <br /> • SEE f}?rRGf�6D � I <br /> • i <br /> ' i <br /> ' • ' � j <br /> ?>� 7''a G»s7`�,�..c�j . . • , <br /> I <br /> , <br /> �� ���/� . . I <br /> . . . I <br /> � � <br /> � <br /> � � . � <br /> � . : .- I <br /> • . ; <br /> � i <br /> I <br /> � <br /> . . . � � � . � <br /> . . � . . I <br /> DRIVEwAY SECiION � The und:rsigned owner hereby aqrees to hold and � i <br /> NO SCALE sav�harmless the City of Everett from any and all <br /> _ � �—� elaims for damages thxt may arise beeauce of installa- � � <br /> ��• ��p Gon and maintenance c,f the improvement hereto � <br /> I 3�— I 30" +PP��ed for and furtheragrecs to remove same upon <br /> �"- --� n ' e from thc Ciry and to replare pubiic property � <br /> . . � da ayid [herr�by,9 n� ' <br /> `/ r/ i•� .n <br /> 1! .+�:t__.1_ <br /> � ��7nawre ol Applicznt � � <br /> � • ' 9.� Io e'_ ,_- • .F.r.+ c✓.. <br /> COPY OF THIS APPLICATION?O ' Address . p7,p � • <br /> BE POSTLD ON JOBSITE. 30�- 7J�0 � <br /> CALL ENGINEERING 0[PT.259�8811 - Telephone Number • ' <br /> //- IG � 7> � <br /> 24 NOURS DEFUflE COf�STRUCTION - Date � ' <br /> - • � <br /> CHECK LIST � _ Fee ����,'�— <br /> . Waror Valvc � � - ' � <br /> Drainage . . �� � OCpt. pproValS ; <br /> Curb&GuttGr � EnginCCrs��� ��� � i <br /> Sidewaik . � ' � . � . � <br /> . , � Water . • � <br /> ' Strect <br /> Inspector'sSignawre . ' Communications � <br /> Tr�Hic_ ; <br /> � <br /> . . . Planniog ' <br /> �a . ' , i <br /> — i <br /> Remarks • <br /> Notc: Oripinai to Customcr - <br /> t coNY�o r+ia 110 7�. ' <br /> 1 Copy to Inspector Approved by <br /> Datc ApproveA � <br /> -+►._ <br />