Laserfiche WebLink
APPLIr,ATION FOR RIGHT-OF-WAY LISE PERMIT <br />ki <br />11004 <br />CITY ENGINEERS PERMIT NO.��-1_� <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following <br />(Work to be done) <br />The undersigned owner hereby agrees to hold and <br />DRIVEWoy SECTION <br />save harmless the City of Everett from any and all <br />NO SCALE <br />claims for damages that may arise because of installa. <br />I <br />tion and m-'ntenonce of the improvement hereto <br />f I" LIP <br />applied for and further agrees to remove some upon <br />I xnI30"� <br />notice from the City and to replace public property <br />r'--- <br />damaged thereby. <br />Sigg tute of Applicant <br />COPY OF THIS APPLICATION 1.0 -1 <br />Addl�ss <br />BE POSTED ON JOBSITE. <br />telephone lum r <br />CALL ENGINEERING DEPT. 2598811 <br />94 HOURS BEFORE CONSTF UCTION <br />Date <br />CHECK LIST <br />Fee <br />Water Valve <br />t Ps <br />Drainage <br />Engineers /�_ <br />Curb &Gutter <br />Sidewalk <br />Water <br />Street - <br />Communications <br />Inspector's Signature <br />Tiaffic. <br />Ate <br />Remarks <br />Note: Orlginal to Customer n <br />1 Copy to File 1 on1 Approved by <br />1 Copy to Inspector <br />Date Approved <br />