Laserfiche WebLink
APPLICATION f-OR F;IGfIT•OF•WAY USE P!_RMIT <br /> cvcrett 1 O 6 p 5 <br /> e ° <br /> CITY ENGINEERS / , � / I <br /> EVERETT,WASHINGTON PERMIT N0. �7 �" 6 J�� <br /> The Undersignetl h�=�� 1���.e�/,�ti i I <br /> Here6y appliestorpermission to /'�,, e{ �,.- 'f' l ?J � Lbn.� -��f e D/,ti <br /> � <br /> � At the following location �G CS li✓.�f',-„�..r �v: __ - <br /> SKETCH <br /> (Work to be done) <br /> i I I I <br /> 1 }� , I I I <br /> � I <br /> Y <br /> \ — <br /> ��� ,� (, �F St.coE i <br /> h <br /> KI . i. <br /> ' Nir�i �`', <br /> � �'l.� <br /> � <br /> �� `� I__ _—�_���-1-.1,ne<,,,a��-`�--- I� <br /> :� � _ � <br /> ` � /1JJ �.. ,..{ �.e i� i / �� -�y .� <br /> f--L'`'l'" � I <br /> � •.�'_o k J <br /> i „ ^_ ,r�aiTj'1 T J _Ll. 3 � � <br /> _ _. _ — .s�nciS..dfl.� �_ _ . <br /> i <br /> --_� `�l n,���.�5�o Rru+� mo. � 9 • 3r I� <br /> ,E,,s �w:e `� <br /> _ � ` - - — 7 -- <br /> „ y <br /> t J.E =� 1 (��r/[u �34nr- u � 2�� <br /> / <br /> J <br /> - - 3 <br /> , <br /> �vot� , v�/.�t�, 5���.� � <br /> ___.— <br /> t._, be K.eleJ by V/a�e� <br /> piiDr t:o OJVar`.� � � <br /> � • DRIVEWAV SECTION arl�t � � � he undersigne ow(trhereby agrees to hold and <br /> NO SCALE �r i�C��J•� . � save harmless the Ciq�of Everett from any and all <br /> �--- � � �J yi� ' c�aims for dama�es th ai may arise because o(installa� <br /> � � �i" UP tion and maintenance of the improvement hereto , <br /> 3�� 30 applicd for and (urther agree to�emove s e upon � <br /> �..--.�..— ----.�.� notice from� Eyaad to�place public�iroperty <br /> � damaged fiereb . r _ � <br /> SignaWre of icant l ,� � , <br /> 1 ,�7GT (/riiJT ' <br /> COPY pF THIS APPLICATION TO Address <br /> �EPOSTEDONJOBSITE. �'�y` ��y� , <br /> � Telephon�mb� �� <br /> �, CALLENGINGERWGDEPT. 259�9fl1� �' .T��7/77 <br /> � �241!ni�RS E;�FOFG CONSTRllCIION�� Uate ; . - _ � _ <br /> - ' i.� i".�, �� j• <br /> CHECK LIST Fee �— <br /> Water Valve Dept. Approval5 <br /> Drainage � � <br /> Curb&Gutter Engincers_L �-���t4„� �' :`i • � <br /> Sidewalk Water �+ % � '�� �7�� �� <br /> -- � 'dt_1�""' �.-r,...-�. ' ' �;:i � <br /> � �� Strcet + �� .. , % .. - <br /> � <br /> . Cammunications r:�:-���-;�.,� _.-�v'�. <br /> Inspectors Si na ure Traffic I <br /> � �; -7 Planning � <br /> � �' � — / � . :,�' - <br /> ate --- ' t•+, ,,,�. - <br /> � �, <br /> Remarks <br /> �'�tc: Original to Customer <br /> , ��,,Y �oF,�� 106R5 <br /> 1 Copy lu Inspector Approved by <br /> Da[r. APP�ovrd ----- -- <br />