Laserfiche WebLink
, everetl APPUCATION FOR RIGHT-OF-WAY USE PERMIT _. ,� � <br /> � — !. J � �u <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON F'ERMIT N0. <br /> The Undersigned <br /> Hereby applies for permission [o � <br /> At the fo�lowing location '' ' � � <br /> SKETCH <br /> (Work to be done) <br /> oRlvEwav SECTiOnI The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless tYie ,r.ity of Everett from any and all <br /> r-- ---- --� claims for damages that may arise because of installa- <br /> � +I�� LIP—� tion and maintenance of the improvement hereto <br /> applied for and further agrees ro remove same upon <br /> 30° .__ . ._.______. . .____�f.30�1 notice from the City and to replace public property <br /> � damaged thereby. � . <br /> Signature of Applicant <br /> --- �-- ----� <br /> COPY OF THIS APPLICATIODI TG �'� Addmss , � . <br /> �E FOSTED ON JOBSITE � ` <br /> Telephone Number � • �� — <br /> CALL ENGINEERING DEPI'. 259�8817 � -� � <br /> 24 HOIIRS BEFORE CCNSTRUCI�ION Date <br /> �--------- -- ------I <br /> CHECK LIST Fee <br /> Wa�er Valve Dept. Approvals <br /> Drainage <br /> Curb&Gu[ter Engineers <br /> Sidewalk Water <br /> � Street_ <br /> i <br /> Communications <br /> �ns to S' nature Traffic <br /> � ���G / y 7� Planning <br /> —bate <br /> Remarks <br /> �. l. ,.: �� <br /> Approved by <br /> Date Approved � 3 <br /> I�lSPEGiOk'_; GJr'f . . . . <br />