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"" \ <br />everett APP���ATION FOR RICH�-OF-WAY USE PERMIT <br />� TYPe or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOF!:S PERMIT NO. �� <br />EVERETT, WASHINGTON <br />APPLICANT (UIJDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ <br />HEREBY APPLIES FOR PERIAISSION TO <br />AT THE FOLLOWING LOCATION <br />/ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHEU: <br />CONDITIONS <br />e done <br />1. <br />2. <br />3. <br />Existing sidewalks, curbs and gutters are undamaged - any damag <br />to same during construction will Ee repaired or, removed and replaced to <br />the P.W. Inspectors satisfaction. <br />to be i s talled athe existing cu bs and gutters must�be to^,a�11Y1 emoved ave <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALLOW ED. <br />All concrete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />�'/µ��p HC <br />�O ,�i � 3�� <br />o%a� �,� � R i <br />as <br />`� �� <br />�/-�'� <br />p�iiMlT ;1� VALID FOR 60 DE�YS <br />COPY OF THIS APPLICATION TO BE POSiED <br />ON JOBSITE. <br />CALL FOIi iNSPS'CTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />STPEET <br />DEPARTMENT APPROVALS <br />COMMUNIC4TION5 <br />TRAFLIL �— <br />PIANNiNG <br />/%���/( �' 8'// /PO <br />I ' s�.�-- � —�T ATE <br />APPF�OV ED �OR [.Orva' nu� i wrv <br />pPPROVED AS CONSTRUCTED DATE <br />URIVEWAY SECTION <br />� +I'� LIP <br />�30, �30" <br />.y-„ <br />� <br />The under:ipned owner hereby agrees to holE antl save harmless <br />rhe Ci�y o� Evereit Irom eny and nll claims lor damages, msls. <br />rxVens=s. or cnuses o� ection that may anse beawse o� mstallation <br />�ntl mamtencnce ol Ihe improvement or other righl-of-way use <br />here�o applied lor an0 �urlher agreCs �o remove Same upon mUce <br />inm ihe Cey and �o replace publ¢ propetly tlarnagetl Ncreby. <br />% : �.!�1..�%%���� �y:.t.i/���.�/'%i��S �/�.��J <br />Y : /� J �i���,./�y� / <br />�_fir a <br />,5�� i W E OF nPPLICANt <br />1'� �-k <iii <br />ADONISS <br />/- ii� /� �,> �� `�� - i f> `�h��' � � <br />LP <br />GIiY <br />�.J/-. �'"'r/ %� <br />TELeFMO�1E NUMBEA / AITEANfiE <br />/' .' � � C��I.J _ _— <br />' !; !I�i Ir'�.L I� ",f'GCTIO�l f1�QU�STFD cee �97fl <br />