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' eve?en <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />v Type or prinl cleady with ink <br />PRESS HARD - YOU ARE MAhtIIJG COPIES � <br />PUBLIC WORKS <br />EVERETT, WASHINGI'ON PERMIT NO. �C �a� <br />APPLICANT (UNDERSIGN=U) AND FIRM REPRESENTED, IF ANY: <br />!iEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWII�IG LOCATION <br />7G�2 Locv� r <br />DRAWING (WORK TO BE DONE) CR THREE PLANS ATTACHED: <br />_.........�..._,... ------ -- <br />CONDITIONS <br />i. Existing sidewalks, curbs and gutters are undamaged - any damage done <br />ro same during cons*ruction 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 r �w driveways ha�oe <br />to be installed - the existin,� curbs and gutters rnust be totally removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NaT <br />ALLOWED. <br />3. All concrete removals must be saw-cut or taken uut to nearest expansion <br />joint. <br />�i�:S�'-,'.' � x <br />- i� .r <br />�k ♦ <br />�.s� fl <br />Mp` <br />P�RMIT IS VALID FO1� f�0 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IHSPECTION 259-881 1 <br />24 HOURS BEFORE CO[VSTRUCTION <br />5[WER <br />DEPARTMENT APPROVALS <br />GOMMUNILATiONS <br />pRAINAGE iRAFFlC <br />� a n;, ,- � <br />WATER ( .,� �: • � � � ��.if pLANNiN�+ <br />I ' U t � <br />_i � � 'I <br />STREET '.�- <br />::.'i <br />:_, '. <br />/ n <br />/ n�;. ..Gk.LT �'��{ <br />APP OVFD FO NSTRUCTION .. -. ... ....... atE <br />�_ cG� �il �./` - � <br />OVED AS CONST UCiED n.�rE <br />DRIVEWAY SECTION <br />� � <br />� tl" LIP <br />I" 30 '�f' T 3� '1 <br />T�e untlersi�netl owner hereby ayrces to hold antl snve harmless <br />�he City ol Evereil Imm any antl oll cleims �or tlamages. cosis, <br />eapenses. or causes ol eclion Ihal may ense because of inStallaUon <br />and mainlenance ol Ihe improvement or olher nqhirol-way use <br />herelo applie0 lor antl further a9rees to remove same u0on nol¢e <br />irom Ihe City an0 IO repla[e pubhc property tlamagetl inerehy. <br />SN.c��s rr�o � �.�� . �.ys �uru <br />�,lGY�4��'/'�;�- % /7 <br />SIGN�OOF�^`'i L�/� <br />!/i <br />nODRE55 <br />ff /L/l�A.t/,�7 �'9 �/�c�-�.� <br />CRV IP <br />1ELEPMON�OC//� AUEPNAtE <br />7 -i -�b <br />��,E - ----- . _ <br />� <br />