Laserfiche WebLink
laFr 'CATION FOR RIGHT•OF-�NAY USE PERMlT <br /> everett <br />; e i�o�a <br />�I CITY ENGINEERS <br /> � EVcRETT, WASHINGTON PERMIT N7. �—I '" ��OO <br /> The Undersigned �� ���.��7_ � //jN� .�'.� <br />� Hereby applies for permission ro��. �i��_�_� �'��L,��ZIG� ?/L-�� � <br /> At the following location���7.-`� CO i F-!�!/� 1. � , <br /> SKETCH � —� — , <br />'I ' (Work to be done) <br /> � � <br /> S�� F.��;'i,'.IC !-Y� � �. <br /> I <br /> I <br /> � <br /> � <br /> DRIVEWAY SECTION The undersi�ned owner hereby agrees to hold and � <br /> NO ScaLE save harmless the City of Everett from anY and all � <br /> � ---� claims for damages tha[may arise because of installa� <br /> I" LIP � tion and maintenance o( [he improvemen[herero � <br /> applied for and further a�-ees lo ramove same upon <br /> �, �„30'�_____,__ _ _�30" I notice from the Ciry and to replace pu6lic property <br /> damayad{hereby. �, <br /> a^����.���STiv� <br /> � Signature o Applicant <br /> ' I COPY Of ihi IS AP� I_ICi���ilOfJ i 0 ��� Addres� ,7/ '� <br /> � �'.F POST[D ON J(,pSI�fE �� -� '� `�� LJ/� �1y����� � <br /> Tele hone Number --7 <br /> I CALL ENCIf�'GFRING C1EPT 5�J 331 ' ,, P <br /> � �� ��` /) �% �f% <br /> , . '.!:�i;flf; ik:fClf;ECOF;S1"I;iJCl10id! Date - <br /> ' CHECK LIST v:���U o�� <br /> Water Valvr. Fec / � ! <br /> A <br /> �ept. Ap rovy�ls <br /> Drainage � i� �� <br /> Curb & Gutter Engineers__�� i.f.��.c. � <br /> Sidewalk <br /> --- 4Vater <br /> Street <br /> ___. Ccmmunica[ions <br /> Inspector's Signature Traffic � <br /> Planning_ _ <br /> �e ---- <br /> � <br /> Remarks — ' <br /> Note: Original to Customer <br /> t copy to File '1 �; �� j � . <br /> 1 Copy to Inspec�or � � Approved by <br /> Date AppruveJ <br /> i <br /> � <br />