Laserfiche WebLink
W <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />0 10270 <br />The Undersigned P.9 UL JONE <br />Hereby applies for permission to _. Con/sr, <br />At the following location 2 SOIo - 7 <br />SKETCH <br />(Work to be done) <br />74T"ST.-f ----+ <br />W <br />Q <br />Q <br />W SCALfRIyEWAY SECTION <br />. NO i42LE <br />�•-- I" LIP <br />�30/7'l01 <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 269-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />ate —2--�---.. <br />Remarks <br />Note: Original to Customer <br />ICopy toFile 10270 <br />1 Copy to Inspector <br />PERMIT NO. /5— 1 46 <br />ELKS OF EXl 5 <br />PAVEMEn/ i <br />/D" <br />50Co <br />-NE W /1504ALT <br />DRIVEWAY <br />,-he undersigned owner hereby agrees to hold and <br />swe 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 further agrees to remove same upon <br />no�fronpthe City and to replace public property <br />110A Address <br />OS 2 <br />Telephone Number <br />.1 Date <br />9'Z A CIO %&6m <br />Approved by <br />Date APpro%d "" • _ �. y <br />r <br />