Laserfiche WebLink
�� <br /> �'y<xr��:rY�r.:y�., �FY[ ��- <br /> �� ��+�'� 'Y/'���sWb��� .CSs .- <br /> �. .i�` N � �..:.- _ . .. , <br /> SM1 �»ue4 ] L 6.. <br /> � fS �ai�iV�l.�Y1�nt��"�� <br /> �—" ���,,N,. APPLICATION FOR RIGHT OF•WpY USE PERMIT ��'Ti <br /> � 1 ��04 <br /> cirv �r�ci�veEas <br /> EVERETT, LVASHINGI�ON � c/�/ ,f <br /> ;; ,; � PERMITNO. b �f• <br /> The Undersi�ned�[_-� ,e,� "' J _y� ,;� . <br /> �it �L. <br /> Hereby applies for permiss on to ' I�.� � t�t��� /�_ � <br /> �rF}l� <br /> -- --�_ (} <br /> At Ihe followin�location .�!�--_, � . <br /> �'l/ <br /> � � 15� � :r� " r. ' `=f_ ! ------- <br /> SKETCH � <br /> �__ <br /> f'�ork to be done} <br /> i p <br /> -�,`.�.�.�r <br />� ' r\ j,� <br /> I/V <br /> /J <br /> 1 <br /> i '�/ <br /> I.���� <br /> ��/J <br /> DRIVEWAY SECTION <br /> , NO SCALE Tfie undersigned owner hereby agrees to hold and <br /> � save harmless the City of Everett from any and all <br /> r'� t�„ ��P clafms for damages that may arise because of installa• <br /> , _oy�- � tion and maintenance of the improvernent hereto <br /> f � <br /> '— , 30" applied for and further a9rees to remove same upon <br /> notice from the Ciry anci to replace pu6lic property <br /> damaged thereby� <br /> Signature of App�nt����/ 1,��/ - <br /> f—�--- -- 2--�=�v— � '�( L!�_._n�..�1.n.. „�-,-..1 <br /> OPY CF i�H15 APPLICATION TO Address <br /> I [3E 'OSTED ON JQBSITE. � `j��'-G 3�, <br /> ii ��S_ -�j�� p� <br /> CALL ENGIfJEERING DEPL 25&8871 Telephone Num6e�i`Z}'t---- <br /> � 24 HOURS BEFu7E CONSTRUCTION <br /> Date <br /> CHECK UST <br /> Nlater Valve Fee <br /> Drair,age Dept. Approv2ls <br /> Curb Qu Guttcr � <br /> Sidewalk Engineers <br /> Water - <br /> Street <br /> Inspector'sSigna[ure �— Ccmmunications <br /> --------_---_-__ <br /> Troffic <br /> biie -�-------- Planning <br /> Reina•F:s �----- ----- <br /> ? 1304 - <br /> ApProved by <br /> 7 <br /> � <br />