Laserfiche WebLink
APPLICATION FOR RIGHT-OF•WAV USE PERMIT <br /> - � - everetl ,� 1 1� � <br /> e <br /> CITY ENGINEERS <br /> EVEflETT,WPSHINGTON PERMIT N0. -�� �� � � _ <br /> . i <br /> The Undersigned - � '� ^ �� -= � -- <br /> Hereby applies for permission to__� — ) t ' (�l� •� ��� '.. i ��';��,� ' � �• ! � . � <br /> � <br /> At the following Iceation [ . .,�- I c� � C = 'f � -�-�� ' �i -^ � � " <br /> -z' ..�--_ . . , . . <br /> SKETCH � <br /> (Work to be done) I , ������i ( <br /> i <br /> � <br /> L <br /> ' <br /> , i <br /> i � 1>� ��/�•�. <br /> �' <br /> '� i <br /> ; 1, -� ----�i � 1----�; <br /> � I <br /> . � <br /> � ,., i _ <br /> . <br /> � - - - -- -__ . __ <br /> - --- - <br /> �` t-�----7.V ��o� --'� � s�` �,,.�} <br /> `�.. L� M�if��rYjJM � � a5�r" <br /> �- __—_ -�----- -- -----� <br /> � ;:�._ ; ,.- ' .,� -�.�_.___j� .___..�S1- <br /> � I�— <br /> I � �i <br /> -��, •;�-a\� p.�I ��J� <br /> �`1��y ._ , �_ �, ., . �.� ."�� �����I -��(. <br /> .,�„hl` cl� ,/�.l�O <br /> � f YY►�.� <br /> L <br /> DRIVEWAv SEC7i0N The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City ot Everett from any and all <br /> f.— �_�" ---- -- - - �-J claims for damages that may arise because of installa� <br /> " � P tion and maintenance of the improvement hereto <br /> applied lor and turiher agrees to remove same upon <br /> �30'�__.�___�t�_,___ _�30'� notice Irom the City and to replace public property <br /> damaged thereby. -� � <br /> Sign5Wr2 o AppliCant ' � <br /> . . _ [-: ,I�l. i �• !, � �. .- � � 't- ' .� <br /> Address � T— <br /> �Cpl"{ OF THIS A�'PIJC/�TIO�J TO j ��� .:' <br /> i QE PO51�D UIJ J6k351TL �'--� � :t � �.. ,f <br /> Telephone Number <br /> CALL ENGWEERING D[PT. 259-8871 �+ � -. 7'�t <br /> J4 1'OURS �EFORE CONSTflUCTIOtdI Date �� <br /> �------ �-- --- -- <br /> CHECK I.IST Fee <br /> Watar Valve —' Dept. Approvals <br /> Drainage <br /> Curb&Gutter `—/ Engineers <br /> Sidew..lk � � Water <br /> i � Sveet <br /> ) � _ Communications_ <br /> Inspeyfor' ignatu�e Traffic _ <br /> C <br /> � .���_ �7 � — Planning <br /> / <br /> �te <br /> Remarks <br /> � l1_ �� J - r <br /> _� . <br /> a�»�o��d�� ,,�``' -� � - ; <br /> ! r'i(�'',:�; �I �i�,\l, ; <br /> Date Apprcved , -� � •� � � � <br /> INSPECrOk'c �,�,r� . � <br />