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PUBLIC WORKS <br />EVERETT. WASHINGTON <br />APP�ICANT (UNDERSIGNED) AND FIflM FEPRcSENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />PERMIT NO �� <br />AT THE FOLLOWING LOCATION �� � � � � � ��-��A�J F /lGj —� <br />DRAWING (WORK TO BE DONEj OR THREE PLANS ATTACHED: <br />CONDITlONS <br />1. Existing :��dewalks, curbs and gutters are undamaged - any damage dc,:�: <br />tc sam: during construction will be repaired or, removed and replac�.c: to <br />the P.W.Inspectors satisfaction. <br />2. Existing driveways should be utilized for new homes, if new driveways havc <br />to be installed - the existing curbs and gutters must be totally removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALLOWED. � <br />3. All concrete removals must bz saw-cut or taken out to nearest expansion <br />joint. <br />PERMIY IS VALID FOR 60 DAYS <br />GOPY OF THIS APPLICATION TO BE POSTED <br />ON J03SITE. <br />Cpl�_ FOR IN�PECTION 259-881 1 <br />24 HOURS BEFORE CONSTRI.t�TION <br />SEWER <br />ORAINPGE <br />`NATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAfFIC <br />PLANNING <br />�/ ?�z-- � � 'O <br />G l DATE <br />APPfiOVEC OR CO STRUC� ✓_ J_�_ <br />_' „� ol-,/�-�a <br />pJ^AS CONSTRUCTED <br />OATE <br />i <br />CONSTRUCTION/AS QUILT <br />DRIVEWAY SECTION <br />� <br />I +I� LIP / I <br />L30�� <br />30" i <br />The undersignetl owner hereby ag�ees to hole antl save harmless <br />the City ol Everett Irom any and all claims lor Eama9es. costs. <br />eKDenses, or tause5 OI eclion lhat may arise because ol inSlallahon <br />anE m:lintenance ol Ihe improvCment or oiher righLol-way use <br />hm¢�O 2ppliCd br dnd �u�IhCr a9ubl c,o o e�1Y tlamagetl ther�eby. <br />Irom Ihe Ciry ana lo replace p P' P <br />S�//�/js�/�� � c.c' �� L/f1MS / NC, <br />�'���/�'�� � - <br />I ATURE OF RPPLICANi <br />��O UOk y/% <br />nODRESS <br />/�/�,�,lll�����' 9�.�? <br />ZIP <br />��� �7-��/%y <br />AIiERNATE <br />TLLEPNONE NUA1pER <br />7-� --�0 <br />,<��u�..+: w::� a. �. . , .; <br />.�:,., ti, . 4; <br />1978 <br />