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everett <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT, <br />Type or print clearly with Ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS- <br />EVERETT. WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED! AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION % 6 6 % G o G(J P /' 7 ?rayei, 1' { <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 orit to nearest expansion <br />joint. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POS i ED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORF_ CONSTRUCTION <br />DRAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />�uZ'PCD <br />APPROVED F R CONSTRUCTION rE Q <br />AS CON RUCT - DATE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />j I" LIP <br />30" I 30" I <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs. <br />expenses, or causes of action that may arise brcause of installation <br />and maintenance of the improvement or other right-of-way Use <br />hereto appbad for and further agrees to remove same upon ncbce <br />from the City and to replace public property damaged meroby. <br />SIGNATURE OF APPLICANT <br />16�0 '60-1' 'ell 9 _ <br />ADDRESS <br />i��o w� 9go�3 <br />CITY ZIP <br />8�?7- o <br />TELEPHONE NUMBER ALTERNATE <br />DATE <br />1978 <br />