Laserfiche WebLink
ki <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMIT NO. <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 />The undersigned owner hereby agrees to hold and <br />NO SCALE <br />save harmless the City of Everett from any and all <br />�— - --- -- -- - <br />claims for damages that may arise because of inslalla- <br />Y' <br />Lion and maintenance of the improvement hereto <br />applied for and bother agrees to remove same upon <br />1_ �30"1 <br />notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant <br />COPY OF THIS APPLICATION TO <br />Address <br />BE POSTED ON JOBSITE. <br />Telephone Number <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />Dete <br />CHECK LIST <br />Fee <br />Water Valve <br />Dept. Approvals <br />Drainage <br />Curb & Gutter <br />Engineers —___—__. <br />Sidewalk <br />Water <br />Street _ <br />Communications <br />Inspector's Signature <br />Traffic <br />Planning <br />—Date - - -- <br />Remarks <br />Approved by <br />Date Approved <br />