Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11283 <br />cvcrcll O <br />CITY ENGINEERS -� <br />EVERETT, WASHINGTON PERMIT NO. <br />The Undersigned <br />/ <br />Hereby applies for permission to /%d�/ rBL�CC < S /_rw/T/9 //it//.Gi Dp/JN1: /7 liT2�G�J <br />At the following location <br />r_ftli� /.n9.0�/,<;<. .Gls✓�is7F0 Jae,SK <br />(Worktobe done) -y , S/I�cTGN• SOMA �s��s��/>�� rn s <br />_-- <br />DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br />I NO SCALL-_ —� save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />I" LIP PP I I tion and maintenance of the improvement hereto <br />_I_3o V �I applied for and further agrees to remove same upon <br />J I notice from the City and to replace public property <br />n damaged thereby. /• � � <br />/ Y Signature of Applicant <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL. ENGINEERING DEPT. 259 8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb 81 Gutter <br />Sidewalk <br />Inspector's Signature <br />_17a-te <br />Remarks <br />1.1233 <br />Address � <br />Telephone umber i <br />Date <br />Dept. Approvals <br />Communications <br />Approved by <br />f ILE COPY Date Approved <br />