Laserfiche WebLink
� . e�e�cn <br />..e�. <br />CITY E�GINEERS <br />EVERETT,WASHINGTON <br />The Undersigned 1 Jr�(„ <br />Hereby applies for permission to <br />At the following <br />APPLICATION FOR RIGHT•OF•WAV USE PERMIT <br />�' � � h D�rJ <br />SKETCH / • <br />(Work to be done) <br />5;���nc,c� �i����o� C��►�c, ���.������� <br />nUD Loi �..,ue �.�i � �-, wh��.;��ti,�u <br />DRIVEWAY SECTION <br />NO SCALE <br />� I�.�LIP —��_—�- � <br />�30" i �30"�I <br />f <br />ICOP\' OF THI$ APPLICATION TO � <br />BE POSTED ON JOBSITE. I <br />CALL ENG�NEERMf; DEPT.259�8871 I <br />' 24 HOUR; C;BFORE �ONSTRUCTIO'Ji <br />CHECK LIST <br />Waler Valve <br />Drainage <br />� Cur6 & Guner <br />Sidewalk <br />� Inspector'sSignaWrc <br />Uatc— <br />Remarks <br />i � '� '^ �=1 <br />_..'. C. :�. <br />i <br />/_, �i_ , <br />�!ti' ' , <br />�� l�l �<:,,,f ����.�� <br />c.'c..,{ <br />,. .. .,a�cc <br />11225 <br />PERMIT N0. _ 7 S '— (3' <br />la�l�';<<;��C� C7 %'��I�G���ti <br />C; � n� �?r/ 1.1 L T.�l�i`� A C C- <br />The undersi9ned ewner hereby agrecs to hold and <br />save harmlezs the City of Everett from any and all <br />claims tor damages that i�ay arise because of installa� <br />tion and m�tenance of ttie im rovement hefeto <br />spplied for d further agrces t rem�i, �am�upon <br />notice fro the C�it� and to rf ace�¢uh'hc pYoperty <br />__J"�i1�/L1� cc�i� <br />Telephone Number �= <br />t- <br />Date <br />�l� ��� <br />Fee — <br />Dept. Approvals <br />Engineers_ <br />Water <br />Suee[ <br />Communicazions <br />APProvedbY .���. `� (�`C <br />l� 1 �� <br />Date Appioved � (j� �. ` � <br />�� � �CJ �C% <br />