Laserfiche WebLink
APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> everett i '9 3 3 <br /> e <br /> CITY ENGINEERS . <br /> , EVERETT,WASHINGI"ON PERMITNO. �����/ � <br /> The Undersigned � �i- � ���J - ' <br /> �, ' Hereby applies tor permission to � r � - �'� � # / ' -�� 7I-}� T` l7�f� � <br /> At the following location� �b-/J' Sn1 i '�Fi S T __ <br /> SKETCH <br /> (Work to be done) <br /> si'i; r�TT,-I,. F�-�� <br /> I <br /> E <br /> I <br /> � <br /> � <br /> � DttivEwar SECTiON The undersigned owner hereby agrees to hold and <br /> NO SLALE save harmless the City of Everett from any and all i <br /> 1.--- — -� claims for damages that may arise because of installa� <br /> � tion and maintenance of the improvement hereto <br /> r` (� ��P � applied for and further agrees to remove same upon <br /> � �30'�_ ______--.4..30� notice from the City and m re lace����r� n�o���iy <br /> darga �b � <br /> � ���/ � <br /> $I Jpa�ure� Applicant <br /> �-- -- - <br /> /✓d/l�vl % Y 5 <br /> COPY OF THIS APPLICATION TO �I A�,� ���/a� � ?/�J <br /> � BE POSTED ON JODSITE. I Telephone Numbe j <br /> C!H_L CNGIfdE[Rib!G DEPT. 259�8811 ; � Y�s// <br /> � I•1 I+tiUli'> [YI i u!ti_ CONSTRUCTIONj Date � <br /> i — <br /> CHECKIIST Fee �r� ;v �/j� - , <br /> waier vai�e �Dept. Approvals <br /> Drainage �'� <br /> Curb&Gutter Engineers � �'�-�-�� i <br /> Sidewalk I Water <br /> Street ; <br /> i <br /> Communications <br /> Inspector's Si9naturc Tr�fiic <br /> Planning <br /> —�te __ _-- — <br /> 1 <br /> Remarks i <br /> Note: Original to Customer �I <br /> iconvt� F�i� 10q�3 - <br /> 1 Copy to InsU�'cinr Anproved by <br /> I <br /> D:rte APPtoVed <br />