Laserfiche WebLink
� APPLICATION FOR RIGHT•OF-WA'r USE PERPAIT <br /> everen -� � � 'j � <br /> . � . <br /> CITY ENGINEERS . <br /> EVERETT, WASHINGTON PERMIT N0. �- � <br /> The Undersigned <br /> Hereby applies for pennission to � _ _ <br /> At the following location __ ___ <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAY SECTION The undersigned ov✓ner hereby agrees to hold and <br /> No SCALE save harmlr.ss the City of Everet[from any and all <br /> �� - ----��-- ��-� claims for damages that may arise because of installa� <br /> � �I" LiP tion and maintenancr, of the improvement hereto <br /> �30" .__ I 30' applied for and further agrees to remove same upon <br /> --�---------- —•r• -� notice from the Ciry and to replace public properry <br /> .damaged thereby. . <br /> Signawrr. of Applican[ <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITt. Telephone Number <br /> �CP,LL ENGINEERING DEPT. 259�8flt 1 <br /> 4 HOURS B[FORE CONSTRUCIIUN� Date <br /> CHECK LIST Fea <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Eogineers <br /> Sidewalk Water <br /> � � Sueet <br /> / <br /> � � ' ��.�c ,� �,1,�--- Ccmmunicat�ons ._ <br /> Ins ct ' 3ignature J Traffic <br /> ,/ ,9 Planning_ <br /> l�J -- � r /Z� L — � �� � <br /> ate — <br /> Rr.marks <br /> �. .�. .. � r� -- <br /> Approved by � � � <br /> ` ..' <br /> Date Approved �- . - � 3 <br /> iiJSFcGTOil'3 COPY � � . <br />