Laserfiche WebLink
APPLICATION FOP RIGH7 pF-�V.41' USE PEFiMIT T � <br /> (��C1 <br /> � E__i�i 3 :J <br /> U <br /> CITY ENG�MESRS <br /> EVERETT, V/A.^��i1NGTON, PERMIT NO. �� <br /> Th� Unccrsigned I -� __ � i . <br /> HerebY apnlies for permission to__ �=T.:v c. : ..1 t S�� .-t �-, i >r -i �_ �" ,T,:.i <br /> At the `�dowing Iocation �/ii '7 i/_��� !-)_!_ �: F <br /> SKETCH -- <br /> (Work to be done) <br /> _ ,.� -. , :1 . . � . - <br /> �, DRroEWaY SECTION The undersigne❑ .,oner herehv agrees to hold and <br /> NO SCALE save harmless the City of Evere[t from any and all <br /> ', �— - --�---j daims for damages tha[may arise because of ins[alla- <br /> � �I" LIP � [ion and maintenance of ihe improvement here[o <br /> ' applied for and further agrees to remove sarne upon <br /> �,30';�_______ ___._�,3o';.I notice from the City and to replace public property <br /> damaco [ ere y. ���� � <br /> / ���� _— <br /> . Si naW�e of A p icant <br /> ✓�� /�ir x `? 7/ % <br /> '� CGVY OF THIS APPLICATIOIJ TO I Address <br /> DE POSTED ON JOBSITE. � � 5--�-.� S%Yi <br /> ' Te ep oh ne Number <br /> ! CALL ENf,INEERING DEP7. 259�8811 �� �.� /�_/,� <br /> "�1 H��U'.; BEFOREC(�D�SrftiiCT10�!� Date <br /> � --- - �— - � .��� l �r.- �7 <br /> CHECKLIST Fee �� s;: <br /> �.vacer valve ` Dept. AFprova�s <br /> Drainage ,,.-�� r <br /> Curb&Gutter En9ineers��"�L�;. ' <br /> Sidewalk <br /> Water <br /> Sveet <br /> — —�-------.. _.— - —....--- <br /> Cemmunications_ <br /> Inspector's Siynature fraffic � <br /> Planning <br /> Dnte — <br /> Remarks <br /> Nntc: Ori9inal to Customer <br /> , �:o��Y ,� F��� 1 1 f?R 9 — <br /> 1 Copy ro liupuctoi " Appraved by <br /> Datr. Ap��toved <br />