Laserfiche WebLink
vv�rett <br />� <br />CIiY ENGINEERS <br />FVERETT,WASHINGTON <br />The Undersigned = <br />Herehy applies fo� permission to _ <br />At the lo�lowing location_ <br />SKETCH <br />IWork �o be donc) <br />APPLICATI(1N FOR RIGHT-OF�WAY USE Pi N�JIIT <br />DRIVEWAY SEC710N <br />NO SCALE J <br />� I <br />__ __ <br />�I" LIP _� <br />'_ . . ' _ ' _ _ <br />���� � -.._ -'_ �3U".. <br />(lil'i (11 �iIP.,.�!I'Iu.:.'iii�,; ��.� <br />I BE POSTLU OfJ JU(351 il. <br />I[:ALL FNGINF�;?IN(3 DC-PT 759 ��:� i'� <br />;'lil�'�1�;.�',�If�H! 1�11�.',�,I;�I�i Iliii, <br />CHECK LIST <br />Water Valve <br />Orainage <br />Cwb & Gutter <br />Sidewalk <br />Inspector's Signeture � <br />Datc <br />R�rnarks <br />Nuu��. Onginal foCustomer <br />, c�,;,� ��� n��� � f) R? 1. <br />1 Cnpy tu In�n, � t„i <br />�.082"1 <br />PERMITNO. �i _�_ � _. <br />lhc unJcrsigned owner herel�y a9iees �o hold aud <br />save harmless the City ol Everett (rom any and all <br />claims fm damayes ihat may aiise bacause of insLJla� <br />lion and maintenance ul the improvement hereto <br />applied for and furtlier agrees to remo�.e same upon <br />notice 6am ihe City and to replace pulilic propeny <br />damaged iherc6y. , � <br />i <br />Signamre ol Applicant �� � <br />� � � , � i(: •— � <br />Add�ess <br />( ' / .��' �.� � <br />Tclephone Number <br />Date--__—___` _ '--- _ ___-__— <br />FCC_—__"____`___,__ __ __. ."__ <br />Dept. Approvals <br />Enyinccis <br />Waler <br />Sheet----- _. — <br />Communicetions � <br />Traf6c <br />Planning <br />n�,p,oved �rv <br />flalr 11Pp� nn, � <br />