Laserfiche WebLink
,r- ''" � ; <br /> APPLICATION f'OR RIGHT�OP•Wl1Y USE PERM,IT ; <br /> �,�r���t 11063 i <br /> � � �� <br /> ,:�s/;�., I <br /> ��`�.FYJ� i <br /> ! <br /> CITI' ENGINEEfiS � <br /> EVERLTT, N'�SHINGI"Of� r�? ' <br /> PEflMITNO. � � '� � <br /> Thc Undeisigned_���^�II �- �/..) !J l,�� <br /> r'--- <br /> Hcreby applic;for permission lo,�lZ[i/;:_f"�i t 7' _��_ _'7,; �j r'.�-z1/J�/ •� i>%,/ ' <br /> T <br /> Atihefoh�win9location�?��-�-_-�i�'��,j;-�`�7" � I `'' '='_ ,1 �� �-{-- <br /> I � StKi:ICH � � — <br /> :ork ro bc done) <br /> � <br /> s c� f1-r-r,?:�f���, <br /> Oi� 7`� Co,�i.r7s�Z•�f" � <br /> .��� ��� � � � � �; <br /> /� <br /> . ; <br /> ; <br />� . <br /> iDRIVEwAY SECTION . The undersigned owner hereby agrees to hold and <br /> I � NO SCALE_�� � savc harm!ess the City of Everelt from any and all i <br /> claims for damages that may arise because of instal�a� <br /> �1 I„ ��p tion and maintenance o} Ihe improvement hereto , <br />. 3�., �'—� , applicd foi and further agrees to temove same upon � <br /> �__,.r__.__` I 30" I . notir=from the City and to replace public property �� <br /> "t' "i <br /> � .. d:.,��. , i/i�r�prc y, �J � � <br /> _ . ' • f ! i-,'-�__1�� , _ /� �i <br /> ,c<1 <br /> � - irturc o(Applicant � <br />, _,%C�.,�/' , ��T� � <br /> COPY OF THIS APPLICATION TO Ad�res5--_1�c r i <br /> F3E POST[D ON JOBS�TE. . .3J�� ,9 C�'C� � <br /> �CALLENGWEERINGDEPT.2596811 7cleph��•N nber � i <br /> �� 7 <br /> i 24 HOURS BEFORE CONSTRUCTION Datc �� � � ' <br /> CHECKLIST Fee '%�,�•_� <br /> Water Va�ve - . ' <br /> Draina9c � �Dept� pprOv815 <br /> Curh&Gutter _ � Enginccrs s • �. <br /> i Sdewalk ' � . <br /> ----- Water <br /> Street <br />� _ Ccmmunications <br /> Inspector's Si9nature � Traffic � , <br /> . Plenning_ <br /> ate --• --�— � <br /> Rema�k: — • — j t <br /> NcM: Ori9inal tn Customcr ' <br />��, 1 Copy tn Fila 110 6 3 — � �.�� <br /> 1 Copy to Inspc:tor Approved by <br /> r <br />� . . . fla.a 4mi�n,,.v1 ; <br /> I <br />�._ .. __ . . � .'�4._. . _. <br />