Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />everen 10410 <br />CITY ENGINEERS <br />EVERETT, WASHINGTTONN PERMIT NO, <br />The Undersigned <br />Hereby applies for permission to l'�'t-�� i �` I•�- r�� <br />i <br />I <br />i I <br />At the following locationX11 C <br />i <br />SKETCH i <br />(Work to be done) <br />I <br />3s, <br />Co - 9/0/ I <br />1�� I <br />I <br />I <br />I <br />I <br />I <br />I <br />DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br />No SCALE ) save harmless the City of Fverett from any and all <br />r— l - --- - t 'J, claims for damages that may arise because of Installa- <br />I 7(� tion and maintenance of the improvement hereto <br />t LIP ,+r"' 2�, applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. <br />Signatur s pplicant y <br />l <br />'r7lt <br />COPY OF THIS APPLICATION TO Address 4j$I ZS <br />BE POSTED 014 JOBSITE. Telephone Number 3(1Z-03T3 <br />CALL ENGINEERING DEPT. 259-881 t <br />24 HOURS BEFORE CONSTRUCTION Date _ <br />CHECK LIST Fee <br />Water Valve Depit. Approy Is <br />Drainage I <br />3 <br />Curb & Gutter Engine <br />Sidewalk 46134 Water a ef aQ -3-•s�'�G <br />Streetl e <br />Communications <br />Insp r'sSignetu Traffic <br />�J Planning- <br />ate_ <br />Remarks <br />Note: Original to Customer /� <br />I Copy to File i. 1141 0 <br />I Copy to Inspector Approved by g� <br />Dale roved <br />