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everen <br />-� APPLICA�TION F�R RIGFiT-OF-WAY llSE �'ERN61T <br />Type or print cleaity with mk <br />PRESS HARD - ti'OU AHE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHING7GN PERMIT NO <br />APPLICANT (UNDERSIGNED� AND FIRM REPRESEV7ED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FULLOWING LOCAT�ON <br />DRAWING (WORK'i0 BF DONE) OR THREE PLANS ATTACHED: <br />COND� 5 <br />%^b-5o <br />Existing sidewalks, curbs and gutters are undamaged - any darnage done <br />to same du:ing construction wiil be repaired or, removed and replaced to <br />the P.W. Inspectors satisfaction. <br />Existing driveways should be utilized for new homes, if new driveways have <br />to be installed - the existing curbs and g�itters must be totally removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALL_ OW P�' <br />All concrete removals musi be saw-cut or taken out to nearest expansion <br />joint. <br />e U-- f f.�`. d�� � <br />� � � � <br />A <br />'? R <br />� 0? <br />a s � �� <br />PERMIT IS VAL1� FOR 60 DAYS <br />Cc�PY OF THIS APPLICATIOPJ TO BE POSTE� <br />ON JOBSITE. <br />CALL FOFi INSPECTIONI ��a9-S8S 1 <br />24 HOURS BEFORE COSJSTRUCTION <br />SEWER <br />ORAINAGE <br />WATEF <br />DEPAR7MENT APPROVALS <br />GOMMUNICATIORS <br />Tq�FFlC <br />PLANNING <br />1 �: � �'.!� I� .' � �.. "� <br />STREET . � � � � 'I� ;1 � , . ��. <br />� - ., r <br />�li l /=�' ) %�— ��.��fi'O <br />APPROVED F0 CONSTRUC u , OAiE <br />r <br />..._ ..... ..............................._ .. . <br />. ...._ <br />TT�3�� - �- <br />APPROVED AS CONSTRUCTE � ��''rE <br />.);' " � .. .. . .. <br />DRIVEWAY 3ECTION <br />} I" LIP /� <br />�30,� 30,� � <br />The un�ersigned owncr hereby egrees fo hoL� ana save harmless <br />Ihe Cily o/ Everetl Irom any end all claims 1: i dameges. costs. <br />expenses. or causes ol aciion ihat may arise because of installation <br />antl maiNenance of Ihe impmvmn�ni or other righ4of-way use <br />hereto apphetl lor an0 huther agrees Ia �emove sart�^ upon not¢e <br />trom !�e Ciry antl Io replace pu0hc Groperty tlamaqetl thereby_ <br />�hi`��sr�•)d � ����1-! %✓,�>s ri�ic <br />/�%i�.r.�C-l/%i. '//% <br />SIGNATUAE OF APPLICANi � <br />��� � �� t�� ���/ <br />n�DRE55 j <br />L <br />�/ // //�ii�i.� (�.�iJ � �� r <br />cnv z�" <br />�..�7—�%%1 <br />TELEPHONE NUhIpER A�iEHNAtE <br />�—/— S� <br />n;q <br />� <br />