Laserfiche WebLink
APPLICATIn�' FOP RIGHT-OF-WAY USE PEFMIT <br /> �aeret� 1 O��� ' <br /> e � <br /> CITY ENGINEERS � �_ �,i � � , � <br /> EVERETT,WASHINGTON PERMIT NO. �c� �. <br /> TheUndersigned .- /���,T'.C.�/� e1 �•U/Ll, /,c.1/t//� � <br /> Hereby appli:s for permis;ion to r�iC_ /��,�_ ����i �T .�����,�/.� 7��1 � <br /> At the following location ���3 �TL-� ,�\ UE , 5. � . <br /> SKETCH <br /> (Work to be done) � � <br /> / � <br /> SjG /������ /� � <br /> � <br /> I <br /> i i <br /> , DRivEWAY SECTioN The undersigned owner hereby agrees to hold and � <br /> � NO SCALE save harmless the City of Everet[ from any and all � <br /> '' — � claims (m damages that may arise because of installa� � <br /> � � +I" LIP [ion and maintenance ot the improvemPnt hereto � <br /> applied for and further agrees to remove same upon �� <br /> I, � 30' �— 30" <br /> .-�.�+-------- � ----.1.---.� notice from the City and to replace public pioPerty , <br /> dama ed the�6y� � <br /> �#� S�0 9 <br /> Signatu o Applicant ' � <br /> ._----__. . . . _. . _ . <br /> COPY OF THIS APPLICATION TO Addre;s � �. <br /> � BE POSTED ON JOBSITfS. � ��� / � �/�/�- �:'I �� ��aL� � <br /> Telephon Jurnber ' <br /> i CP.LL [N(_Ii�iS�RING DLPT. 25&!3E I I .. � � ` � c�(� � � <br /> '��� !Ir�uRg Bi-1-0R� COPJSTRUC��iUf�l� Dete . <br /> � � <br /> /J�'77 <br /> �I�FCK LIST Fee '� � ? <br /> // `� /J�/-� <br /> ,er valvc Dept. Approvals <br /> � Jrainage i"� J �� . <br /> Curb &Gu[ter Engineers ! f'�!����=� ' __ <br /> Sidewalk Water <br /> Street <br /> Ccmmunicaticn: . <br /> � Inspector'sSignawre Treffic . <br /> Planning <br /> -baie --- <br /> Remarks <br /> Note: Original to Cusmmer � <br /> 1CoPYtoFile �0��7 -. <br />� 7 Copy to Inspector ApProved 6y <br />�;�� Date Approved <br /> i <br /> I <br />., - - �- - -- -- �'- - - y--- -— -- - -� -- — —'- - - <br />