Laserfiche WebLink
. � everett <br />. � <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersign�d <br />Hereby applies for permission to <br />At the following <br />(Work to be done) <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT �,,_' :�' � <br />, ,� <br />� i <br />/ i' �?._,-:•r/ r( jy,.-��.. <br />f <br />I <br />DRIVEIYAY SECTION <br />NO SCALE <br />r - --� <br />7-�� <br />_ � I" LIP / J <br />�30'� � —{ 30., <br />__..�.. -. _ _ .._�_._..� <br />�OPY OF THIS API �.CAiION TO� <br />BE POST[D OtJ JOBSITE. <br />CALL ENG�NEERING DcPT. 259�8871 <br />24 HOURS BEFOR[ CONSTRUCTiON <br />CHECK l.IST <br />Water Valve <br />Draina9e <br />Curb & Gutter <br />Sidewalk <br />� -�/.�;_.. -�. -- " . <br />�_:� , <br />Inspector's Signature <br />-:.-.�c� �� � I <br />1 <br />i –. <br />Remarks .. I . , I,. �� � ; . , <br />/ <br />PERYIIT N0. <br />The undersigned owner here6y agrees to hold and <br />save harmless the City of Everett frorn any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and fur[t,cr agrees to remove same upon <br />notice from the City and to re{�lace public property <br />damaged thereby. <br />SignaWre of Ap�licant <br />TelephoneNumber --- — <br />Dept. Approvals <br />Comm <br />Plan <br />Approved by <br />Gate APProved � <br />