Laserfiche WebLink
everett <br />.� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location_ <br />APPLICATIO�I FOR RIGHT-OF-WAY USE PERMIT <br />� 1�268 <br />`lj'%r�y �l�I� <br />/-:� ,. �:-F-�.-� <br />PERMIT N0. .� <br />i, , � <br />/L � � ' Y l� T�i� .:' f / % �'I`/ / <br />SKETCH ��/;:Y � .�L.! �C�'�,✓%'f"�y%� , �' ` � <br />(Work to be done) . , <br />�'y' � =�„/; i.!�� � /: � .•'�iF��ltl.' �' � r I� '!r r✓ <br />1 .� <br />Y'"f_'i.e �a,C'�r�. =�� G'�".G� /.>,, � r I <br />JC.:- .� i <br />IZ"' �YtIA'. C;/1Vfk�T _ �,' '. <br />N�UI�� CJNG. Dfci <br />n�a _r���z t� v:� �i r ��x <br />DRIVEWl+Y SECTION <br />NO SCALE <br />I•-�-- 1p' ----_ _-� <br />� +I�� LIP <br />�° y- � / 5= ' _ – ---I•30':-I <br />, — <br />I �ppY 01= l r;IS APPUCi1l�10"1� i�0 �i <br />BE POSTED ON J06SITE. 'i,, <br />i CALI_ ENGIhEERING DEPT.25� I'� <br />,= 1;-I; URS 8[FOf C:OiJS i I�U('�flOh.! �'� <br />I <br />� 54U4 <br />U;'J,{/ L� y L iJ �) ,t�i. <br />C�� � �� � /� <br />�o-�/—"7C� <br />am � <br />i <br />�L�I' i <br />Remarks <br />Note: Origir.al to Customer <br />�- <br />t coPv co F��� 1_ 0! .�� $ <br />t coPv to I�spector <br />��ct oF �,,ri.s riur� <br />—nAv� �uF,NT <br />The undersigned owner hereby agrees to hold and '� <br />save harmless the City of Everet[ from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto � <br />applied for and further agrees to remove same upon ! <br />notice from the Ciry and to replace puhlic property <br />dam e thereby. �/j � <br />_� ,�G/�/A � � Y��.�p3 . <br />Si9nature of ApPlicanj,, i �r� `� �, / ,. <br />47ZS-%G �-�� � .L�-P�n-l�. __" <br />Address � _ ��J/` - . <br />,3S 5 ,� <br />Telephone Number <br />�/— �%—�L'_ <br />Date <br />��� nu �:.. �,f r �6 7 I' <br />Fee <br />1'• 7.i ' <br />Approve�,'!� � � ��._,aG�'�!.� ./ - �p � <br />O' <br />Date Approved <br />a <br />