Laserfiche WebLink
• APPLICATION �G}S RIGHT-OF•WAY USF: PERMIT � <br /> � ' . everen ' ' � <br /> e <br /> CITY ENGINEERS <br /> EVEflETT,WASHINGTON PERMIT N0. <br /> The Undersigned � __ <br /> Here6y applies for permission to _ <br /> At the following location <br /> SKETCH <br /> (Work [o be done) <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless [he f.ity of Everet[ from any and all <br /> I+— � claims for damages that may arise because of installa- <br /> � +I" LIP tion and mainter,ance of the improvement here[o <br /> applied for and turther agrees to remove same upon <br /> ��_ _ _ _ _ ___ I 30"� notice irom the City and ro replace public property <br /> T <br /> damaged thereby. <br /> Signawre of Applicant <br /> COPY OF THIS AF�PLICATION TO Address <br /> BE POSTED ON JORSITE. -- <br /> Telepho�ie Numher <br /> CALL ENGINEERING DEPT. 259�8871 <br /> 24 HOURS BC-FORF CONSTRUCT'�N Date <br /> CHECK LIST Fee <br /> Wacer Valvc Dept. Approv�ls <br /> Drainage <br /> Curb&Gutter Engineers __ <br /> Sidewalk Water_ <br /> /�j Stree[ <br /> i Communications _ <br /> Inspector's ignature Traffic _ <br /> z _ � , -7 � Planning <br /> ate <br /> G /` _ - <br /> Remarks <br /> Approved by <br /> � Date Approved ' <br /> i <br /> � <br /> �,r, _ . . .. . <br />