Laserfiche WebLink
ctiiren <br />.�- - ���. <br />APPLICATION FQR RIGHT-OF-WAY USE PERMIT 1�.23 O <br />r�,-�� _ J���y <br />CITY EMGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned _/t ,(�rGl <br />Hereby applies for permission to <br />At the following <br />3 5` � Co ., ,. D <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCAL�E <br />r------- 30 ----� <br />� 1 �•� LIP <br />� 3�.,T--- - -- 30 � <br />f'— <br />CGPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL EfJGIMEERIPIG DEPT.259�3811 <br />24 HOUkS BEFORE CONSTRUCTION <br />CNECK LiST <br />N/ater Valve <br />Drainage <br />Curb & Gutrer <br />Sidewalk <br />Inspector's Signature — <br />Hemarks <br />EX Lc-ssiuF ,� <br />11230 <br />PERMITNO. �8—/�,3 <br />The undersigned owner hereby a9rees to hold and <br />save harmless the City of Everett from any and all � <br />claims for damages that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and furthcr agrees to remove same upon <br />no[ice from the City and to replace public properry <br />damar ereb <br />c �` %.�`�.��� <br />Signature of Applicant <br />��9- 9� i(/ � <br />Address�i � ucie% e�lt -�i'2?O � <br />��.7- v�>-Y <br />Telephone Numbe <br />.'��� i�� <br />, Dat� — <br />Dept. Approvals <br />Communications <br />