Laserfiche WebLink
�. everett <br />I <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11186 <br />.I <br />PERMITNO. ]A-9S- <br />The Undersiqred _C K.41 G <br />Hereby applies for permission to �0/YST,C vLT ra 1-/ r OA/C IMF: ,/ <br />At the following location ? 1-3 Y <br />SKETCIi — <br />(Work to be done) <br />I I LD't� <br />I La I <br />f too O�,Are �,u , +� 7�,�.I t! <br />A-Vi. by to,S-1. A....An <br />t CX tJf�- Y <br />DRIVEWAY SECTION <br />NO SCALE <br />f I" LIP <br />30' 30. <br />COPY OF 'HIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />' CALL NEERiNG DEPT. 253-8811 <br />124 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />N <br />Inspector's Signature <br />Remarks 11186 <br />CufTOMlut <br />/) 5tC //ON <br />f <br />+ r t <br />� t�aQtCtrJf <br />C000. V21 <br />IT <br />M <br />tV <br />The undersignen owner hereby agrees to o and <br />save harmless the City of Everett from any an all <br />claims for damages that may arise berause of nsta <br />tion and maintenance of improvement improvement he to <br />appli,d.im—drtd further 1�or�es taremove sam �mn <br />p6fice from t City <br />damaged th eby. <br />L <br />Dept. Approvals <br />Engineers__ <br />Water _ <br />Street <br />Communications <br />FI <br />Approved by <br />Date Approved <br />I <br />