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everett <br />pppLICATIUN FOR RIGHT-OF-'i119AY USE PERMIT <br />� TyPe or print dearly wilh ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />PERMIT NO.��� �a� <br />EVERETT, WASHINGTON __ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY:_ <br />HEREBY APPLIES fOR PERMISSIOM <br />��v� <br />O� � r <br />AT THE FOLLOWING LOCATION_.���— <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACiiED: <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 tu <br />I ectors satisfaction. <br />2. <br />3. <br />the P.W• nsp <br />Existing driveways should be utilized for new homes, if new driveways ha��e <br />to be iPstalled - the existing curhs and gutters m� i�y removed <br />and re laced at new driveway locatian - KNG�KING OFF OF CURB .S NOT <br />ALL._ �_� <br />All concrete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />PERMIT IS VALI� FOF6 6C1 p�=YS <br />CC1PY OF THIS APPLICA"CION TO BE POSTED <br />ON JOBSITE. <br />CALl,. Fa1R INSPECT�C?I� 259-881 1 <br />24 HOURS BEFORE CQPIS7RUCTION <br />DEPARTMENT APPROVALS <br />GOMMUNIC <br />D4iNINAGE <br />. v�nrm�inc <br />STREET <br />��� ��-'-. G-�,� � 0 <br />Q —�— OATE <br />(�PPROVED FO CONST��UCTION <br />%1 /�� <br />� DATE <br />qp�.p D AS CONSTFiUCTED <br />��s��;��cno��i;r�s �ui��� <br />DRIVcWAY SECTION <br />I � <br />� I" LIP <br />30" J 30 I <br />The undersiyned owner heraby ayrees lo holE end save hermless <br />Ihe Ci1y ol Evmet� Oom any antl all claims for aama9es. costs. <br />expenses. or couses o� aclion thai may arise because ol mstallabcn <br />antl ma�Ni°O�lor ontl Wrthe�irdp�ees lo�emoversame upo anoi¢e <br />herelo apP �' m en aama9e4 �hereby. <br />Irom ihe City antl lo replaCe pu0bc p P Y <br />i����/I��li / /��/riMS �NC- <br />��f ��c /(�'% /C 'G �7 �i <br />6AiunE oF AvruCAN* <br />,��, rr�,, [� � � �//L J�� <br />v -- <br />n oeess <br />� /i_ '_ /�1 �� G!J/$� Z� ��,71 <br />C�1Y <br />�7� �—�G/ �Y pLTEPNAIE <br />TELEPt10 <br />� _/ --�U — _ - <br />