Laserfiche WebLink
everett <br />e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />APPI 'CATION FON FIGHT -OF -WAY USE Pr —MIT <br />10873 <br />PERMIT NO. %7 — /93 <br />The Undersigned / . f. HLY ,AX Q <br />Hereby applies for permission_ to C(JN 5 ne-) cl to 137 , A -,,7H/i [ r <br />3.3a_ A✓Z' s ui — <br />At the following I <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />+I" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Note: Original to Customer <br />1 Copy to File 10873 <br />1 Copy to Inspector <br />The undersigned owner hereby agrees to (told and <br />save harmless the City of Everett 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 City and to replace public property <br />dam ed thereb <br />Signa re of Applicant /rye • Q1• 0 <br />A,, .,.,L,...y <br />Address <br />n <br />Telephone Iqumber <br />/ / %% <br />Date . s,a, �� / 2 �• <br />Fee <br />Dept. ApprovRts <br />Engineers f� `�G . L 4 <br />Commun <br />Planning <br />Approved by <br />Date Approved <br />