Laserfiche WebLink
PUBLIC `NORKS <br />EVEFETI'. WASHING7JN <br />qppLICANT (UNDERSIGNED) AND FIRM REPRESEN7EO. IF <br />HEREBY APPLIES FOR PEPMISSIOIJ TO <br />q� THE fOLLOWING LOCATION <br />pRAW�NC, (WORK TO BE DONE) <br />._......-.--^-- - _� ___— <br />OR THREE PLANS ATTACHED: <br />� <br />COrC.�ST10N5 are undamaged - any damage done <br />— 1 ed to <br />1. <br />2. <br />3. <br />Existing sidewalks, curhs a�d gutters removed and rep ac <br />to same during construction will be repaired or, <br />the P.W• Inspe�tors satisfactio�• if new driveways haee <br />Existing driveway <br />s should be cu bs and gutters m st�be totally removed <br />to be installed - the existing location - KNOCK��F CU��— <br />and replaced at ne�y drivewaY <br />ALL� D' <br />All cuncrete remo�'als must be saw-cut or taken out to nearest expansion <br />joir.t. <br />p?ERIVI�T �S NA�'�� FOR 60 DAYS <br />COPY OF THIS APPL�CATION TO BE POSTED <br />ON JOBSITE. <br />CAL2 HO R BEFD E CON[S RUC�T��N ' <br />DEPARTMENT APPROVALS <br />coMMUN� <br />SEWER <br />tRAFFIG <br />ppqINAGE <br />,1�,: � I '�; puAaN�f <br />u,-.i '' <br />WATER ('�' I — ._ _. <br />J <br />srREE. �,,�r <br />� . . �7 / , i / f'1� <br />� <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />��i� LIP <br />�— �-- ' <br />�3� fees lo ho�tl untl save harmless <br />an antl all cleims !o� damn9es. cosl�. <br />The undersi9nad owner hereby eg � insiallabo^ <br />the CiIY ai Everell lrom Y use <br />mveme�� or olher nght-o�On nou« <br />exDenses. or causes oi aciion ihal may a�ise because <br />and ma�Nenznce o� �he �m[' etl Inereby. <br />herel0 app��etl �or and ����lacreapubl c,p�operry Oama9 0 <br />irmm tne C�ry anC Io P <br />Jf�'CS/4ST/�i% '� 1.��/LL//!//S /t(IU <br />�%������L�—,Ei'L � <br />SIGNATURE OG APFLICANI / <br />� v� L y <br />ADD�E55 C/il(�J J <br />1f,_ ,<��- �.: <br />�,,. <br />� i ' l�� O� / P1.iEPNALE <br />/"/Ci / <br />� T�PHONE NUM[EN <br />� <br />oatE <br />