Laserfiche WebLink
APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />evl crcttl <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />1" LIP <br />1-30:L -r---- ---I-' I <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTIOII <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />PERN11T NO. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installs <br />tion and maintenance of the Improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. <br />Signature of Spphcant <br />Address <br />Telephone Number <br />Date ------------ <br />Fee <br />Dept. Approvals <br />Engineers — <br />Water -- <br />_ <br />Street <br />Communications— <br />Traffic — <br />Planning <br />Approved by <br />FILE ' W'- Date Approved <br />