Laserfiche WebLink
W <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10904 <br />PERMITNO. 7 Y., . <br />The Undersigned . '+ le Y— <br />Hereby applies for permission to <br />i <br />At the following location_1l <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />h------- -- 1 <br />11" LIP <br />II i0�� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DFPI 2598811 <br />24 11011115 FIE FORE CONS RUCTION i <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb —SiGutter <br />Sidewalk [ <br />Inspector's Signature <br />at6 e <br />Remarks <br />Note: Original to Customer ^ _ <br />1 Copy to File t ' t ; (T 4 <br />1 Copy to Inspectoi <br />The undersigned owner hereby agrees to hold and <br />save h.rmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <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 ergla <br />i / <br />Ti Y. <br />ure o pli <br />Ad rest a <br />r <br />Telep a umber - <br />Date' <br />r _ <br />Fee q ; <br />Dept. Ap royals <br />Communications . <br />.00 Approved by <br />Date Approved <br />