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PUBLIC WORKS <br />EVERETT. WASIi1NGTON <br />APPLICANT (UNOERSIGNED) AND FIHM REPr�ESENTED, IF ANY: <br />HEREBY APP�IES FOR FERMISSION TO-- <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� <br />PERMIT NO._ ,� ' : � <br />COND� S <br />d n damage done <br />1 <br />2. <br />3. <br />Existing sidewalks, curbs and gutters are undamage - a Y <br />to same durin� tors satisfactionl be repaired �r, removed and replace� to <br />the P.W. Inspe - <br />to beli n talled -athe exi�ting cu bseand gutters must�be totallylremoved a�e <br />and replaced at new drivewaY 1^cation - KNOCKING �FF OF CURB IS NOT <br />ALL�pW_ED' <br />All concrete r:rm�v:sls rr.ust be saw-cut or taken out io nearest expansion <br />joint. <br />�/ �r"��� , ll - <br />. ? °=�°' <br />-. � <br />Al�a� ,�� <br />n s `"' ' <br />��(_ r <br />?`�� <br />PERMIT IS VALI[') FOR 60 DAYS <br />COPY OF THIS APPLIC:ATION TO BE POSTED <br />ON JOBSITE. <br />CAlL FOR INSPECTIQN 259-881 1 <br />24 HOURS BEFORE CONSTRlJCTION <br />sEwEn <br />DRAINAGE <br />W Al ER <br />„fREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFlC <br />PLPNNING <br />� �,�7'. '' � ��i /S�o <br />AP��AOVED F GON3TR CTION <br />� OATE <br />APPROVEG..J CONSTRUCTED DniE <br />INITIAL INSPECTION I?EQUEST�U <br />DRIVEWAY SECTION <br />f I" LIP <br />r.3�� __--__�3� ..I <br />The untlersignetl ownen c�r:by agrees lo hold and save harmless <br />Ihe City of Evaretl Irom ony end all claims �or tlamages. cost;. <br />e�penses, or cxuses ol ac�ion Ihat mey anse �ecause of �nstallalion <br />antl mainlenance of Ihe uuprovement or oltiM righ�-o�-K'ay use <br />hereto applieci lor ontl furiner agrees to remove same upon noLce <br />Irom Ihe Ciry antl to re0�ace public FroOr.rty damagetl Ihereby. <br />Yi�r..?lL�/r�%°/S /..�.)L. <br />�f/r,Z.= ii',� <br />�/��� :���/" �� <br />�$IGTJATURE O� AOPLICANT <br />/)J. . .'.��r' � i'/ � / <br />ADORE55 <br />/ ) '%� ������ �� <br />���� .� L J/ L� Z f' <br />��,� <br />`� / �l"/ %� <br />TELEF�MBER / ALIERNATE <br />% „' � �^ ��lJ <br />� <br />