Laserfiche WebLink
W <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />APPLICATION FOR RIGHT-0r-WAY USE PERMIT <br />10010 <br />PERMIT NO.�'� <br />S ING.. <br />Hereby applies for permission to Co M S.-T 1S ZS � %0 1 DL. rp n1CG b 21 VCLtJ A -(A <br />At the following location -7O 4 -- 9 Q -T H' P L- , 5 • E - — <br />(Work to be done) <br />No SCALE <br />r' ur <br />�.'-°�i <br />c• -. <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />told and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />lion and maintenance of the improvement hereto <br />applied for and further agrees to remove some upon <br />notice from the City and to replace public property <br />)ia . so Q=Ir- Pol 7-F--'y <br />CHECK LIoT Fe 35J <br />water valve -�Ecto � Dept. Approval <br />Drainage •7-3- 7 9 �6z �j� <br />Curb &Gutter Engineers <br />Sidewalk Water__ <br />�y�, Street �+' �'�' <br />G (Ags (` �'Y-5 _ 7/ �'"'�^ Communications <br />Inspector's ignaatture Traffic <br />Planning 4aa2 a <br />ate 7/ — <br />'Re <br />cF��,9p..=� <br />marks <br />Note: Original to Customer 'I <br />1 Copy to File 10010 <br />, <br />1 Copy to Inspector Approved by — <br />Date Approved <br />