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APPLICLI�"ION �G�R RIGF6 I - <br />Type or prnt cleady with ink <br />PRESS HARD - YJU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT WASHINGTON <br />APPLICANT (UNDERSIGNEL) AND PIRId REPRESENTED. IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />PERMIT NO. <br />^� <br />ATTHE FOLLOWING LOCATION 7l�- � � L. ! __i- IS .�� � /� %�('�I <br />J <br />DRAWING (WORK TO BE DONE) OR THREE i'LP.NS ATTACHED: �/�' �� ��' � <br />CONDITIOIJS <br />Existing sidewalks, curbs and gutters are undamaged - any damage done <br />to same during LonstruCion wiil be repaired or, removed and replaced to <br />the P.W.Inspectors satisfaction. <br />Existing driveways should be utilized f.or new homes, :f new driveways have <br />to t+� installed - the existing curbs and gutters must he totaliy removed <br />and replaced at new driveway location - KNOCKII�7G OFF OF CURB IS NOT <br />ALLOWED. <br />All concrete removals must be saw-cut or taken out to nea�•est expansion <br />joint. <br />�" � <br />aS <br />PERMIT IS VALID FOR 60 DAYS <br />CO!'Y OF THIS APPLICATION TO BE POSTECI <br />ON JQBSITE. <br />CI�LL FOFY INSPECTION 259-881 7 <br />24 HdURS BEFORE CONSTRUCTION <br />❑RAINAGE <br />STREET <br />DEPARTMENT APPROVALS <br />COMMl1NiCAT10N5 <br />TRPFFIC <br />PLANNING <br />7 �y-- <br />��/L) �� �! ����� �� <br />APPROVED F' R GONSTflUCT10N ' ATE <br />APPROVeD AS CONSTFUCTED DnrE <br />inii i ini_ ii��s� �cn���! ���c?ur_sTEo <br />51� <br />DRIVEWAY SECTION <br />�. <br />I'� LIP <br />i����— � � � 30" � <br />��� J � <br />The untlersigned owner hereby agrees to liold antl savo harmless <br />ihe City ol EvMelt Irom any and all claims lor tlamages, costs, <br />expenses, or causes of uc�ion Ihat may anse because ol mstallalion <br />ana maiNenance of Ihe impmvement or olher righ4ol-way use <br />here�o aOPheC lor antl �urthei agrees lo remove same u0on notice <br />Irom Ihe Ciiy anE �o reptace pu�lic pmpetly damagetl thereby. <br />�„/f�,[:/�S%��J � L.,. '/�� /% �S �C�.��J <br />.' �� // �i, ��. /./ .'r'/� / // <br />SIGNNTURE OF 4PGLIC/NT <br />�� /1%��t ���/ <br />nooaess <br />��i�l���/�'�'e� ; � 1 � �p�'��.�i <br />GITY <br />�-' /"�//</ AITERNATE <br />TElEP1iONE NUM1�DER y� <br />� � J ` <br />onre <br />�� <br />