Laserfiche WebLink
' APPLICA710N FOR RIGHT-OF-LNAY USE PERMIT <br /> cveretl <br /> � <br /> CITY ENGINECRS <br /> FVERFr'r', W�cHIP!GTOP: PERMITK�. <br /> The Undersigned <br /> Here6y applies for permission to <br /> At the followiny loca[ion_ <br /> SKETCH <br /> (Work to be donc� <br /> DRIVEW�Y SECTION The undersigr�ed owner hereby agrees to hold and <br /> NO SCALE save harmless the CitY oi Everett from any and all <br /> �� - - -� claims tor damages that may arise because of installa- <br /> I�� LIP tion and maintenance of the improvement hereto <br /> applied for and turther agrees to remove same upon <br /> �30"I _ _ �30"! notice from the Ciry and to replace public property <br /> damaged thereby. <br /> Signature of Applican[ <br /> i <br /> ' (:OPl' GF TtIIS Af'PLIC�'i IOfJ TO Address <br /> B[ POSTED ON JOBSITE. <br /> Teiephone Number <br /> '� CALL ENGIN[ERIMG DEP'f. 259-681� <br /> I, 7�! HOURS 6EFORE CONSTRUCI"ION� Da:e � <br /> CHECK UST Fee <br /> Wacer Vaive Dept. Approvals <br /> Drainage <br /> Curb&Gu[ter Engineers <br /> Sidewalk Water <br /> Street <br /> Ccmmunications <br /> Inspector's Signature Traffic <br /> Planning <br /> bate <br /> Remarks <br /> Approved by <br /> Date Approved� 0 <br />