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everetl APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with Ink <br />• <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION__ -7 6 67 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />CONDITIONS <br />1. Existing sidewalks, curbs and gutters are undamaged - any damage done <br />to same during construction will be repaired or, removed and replaced to <br />the P.W. Inspectors satisfaction. <br />2. Existing driveways should be utilized for new homes, if new driveways have <br />to be installed - the existing curbs and gutters must be totally removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALLOWED. <br />3. All concrete removals must be saw -cut or taken out to nearest expansion <br />joint. <br />PERMIT IS VALID FOR EO DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />DRIVEWAY SECTION <br />LIP <br />30'' <br />The undersigned owner hereby agrees to hold and save harmless <br />Ole City of Everett from any and all claims for damages. costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other rrjht-ol-way use <br />hereto applied for and lurther agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />SEWER COMMUNICATIONS ��/Q��'�//pS/JTN ✓) Ile <br />DRAINAGE TRAFFIC ASIGNATURE WATER PLAWIING OF APPLICANT <br />PO 60�1 -/i <br />ADDRESS <br />STREET <br />L % CITY ZIP <br />APPflC VED F R CONSTRUCTION O TIE <br />__ _ <br />TELEPMGN: NUM1'THE R ALTERNALE <br />.ornu oIIriC -- DATE DATE <br />