4906 23RD AVE W 2016-01-01 MF Import

everett �� " ' APPIICATION FOR RIGHT-OF-WAY USE PERMIT 1114 6 � � �CITY ENGINEERS EVERETT,WASHINGTON PERMITNO. � � -'�` �O /'� / The Undersigned �S" � N / � C �f A � �� 5 � �= 'c �� v �� fi 5 �a r�/ /�/�i�� r .� Hereby aPPlies for pertnission to �'..hi•>t.:.,�'� �� ? C ' /' ; �,.��',-' � f��A/ At the followinc�Ixation 1------___ �%U la � c� �,Q.J �UG /.�� �✓e r c 1�" .�hT �.� ��:-�i•,a�%�a _Sr,�� rui r�c T�q rrr 5"L'�' 7j-'�-�__..�- SKETCH i � � --T (Work to be done) ' �.� + � , . _ . � �.� �G =� �� �,= ,,.: �, r- ^ � � / �- I � ` „ / � , , � � , a 1, ,f � � , w: r ;,�� �_ . � �) o �,�� rt, � : c < � �' %ra rt � , + � � r � �� �7 J �qRi�-'"7 � ;�� \ � � r.�; �� i'-�— - —"��'�'� � o -�-�.:'� C,�-+'- ;i ` . �� ;� /I DRIVEWAY SECTION ` \. 1 j��The unders' ed owner hereby agrees to hold and NO SCALE ��"N save ess the City of Everett from any and all __._�— �Z� 1 -� "-�� ims for damages that may arise because of installa• " � % '/� tion and maintenance of the improvement hereto applied for and furthcr agrees to remove same upon � i 0' 3�Y ' notice from the City and to replace public property . �- --�-� ,/� � dama ed thereby. •� � \ti\� C� � o ��:.� �-- ��_.___..—�` Sig a ure of Ap licant � ( �, �' '7 - I 2 LOi�` S� :a �� COEY-0 THiS APPLICATION TO Address T � V C�f'G.T�"' � �� BE ?OSTED ON JOBSITE. � �� ' U' � � �� Telephone Numbe� // ,/� '� CAL� ENGINEERING DEPT. 259-8R11 ,�. 24 HOURS BEFORE CONSTRUCTiON Date � CHECK LIST Fee '�!� s" � ,r -i „ _� f - Water Valve Drainage Dept. App►ovals Cur6&Gutter Engineers --� Sidewalk � Water � • Street Communications � Ins Signature Traffic � �� Planning -�j ��— Remarks 11146 ,-, APProved by ..�> > . , U riC: .'y:i\ INSPECTOR'S COPY Date Approved i' �`�, , (`� �� B � � -4.