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Ty{,c Or priu' �'tarly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PURLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERS�GNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION <br />DRbWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMiT NO.— <br />COyDITIONS <br />� �o ame dur ng constructiondw 11 be r paired or, removed and eplaced to <br />the P.W• Inspectors satisfaction. <br />2. <br />3. <br />Existing driveways should be utilized for new homes, if new driveways h;ive <br />to be installed - the existing curbs and g��tters must be totally removed <br />and replaced dt new driveway location - KNOCKING OFF Or CURB IS NOT <br />ALL�=- <br />All concrete removals must be saw-cut or taken out to nearest expansiun <br />joint. <br />�f <br />���.aus <br />o�a� R��� <br />s ��°� ' �° <br />a � Q� <br />d <br />PERMIT IS VALID FOIR 60 DAYS <br />COPY OF TNIS APPLICATIOf�I TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTIOW 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />yyATER <br />DEPARTMENT APPROVALS <br />COMMUNICAtIONS <br />TRAFFlL <br />PLINNING <br />C i rr�1 �:. � c c-. _ r <br />STREET . ii! C�J ' j L '�, <br />/ � '-/• -' ' ' i <br />�� �� � � � ;,; ,'... �J'��/�''U�' — <br />pPPROVE�FP CONSTRUC <br />��„����ii / DATE <br />-- ........ _...... ....__ <br />�: <br />pPPFOVED AS GONSTRUCT •��� oArE <br />.10.I ... . . . ..a <br />� `` li`:ITIAL INSPECTiON REQUESTED <br />DRIVEWAY SECTION <br />I \ � I" LIP --� <br />� ` � <br />�30�1 I I 30,� <br />f}. —•�� <br />The undersigned owner hereby agrees to holtl antl save hrrmLss <br />the City ol Everelt Imm any anC all claims lor Oamages. cosis. <br />expenses. or c. uses ol action Ihat may arise because of installation <br />antl maintenance ol Ihe improvement or olher nqhFof-way usu <br />hereto apphed lor antl �urlher agrces �o remove same upon nohcc <br />Irom Ihe Gty and to replace Oubl¢ V�operly tlnmagetl inereby. <br />-/yyr-it� ri�1d � � c� iGL �,�,�.s iP�/� <br />J <br />��/�.1. /�- / %i � "//% ------- <br />SIGNATURE OF APPLICENt � � <br />L�� � �.�.�x �ii i - <br />AD�FE55 � � ) <br />�i i�,����/�i�/ %.v�% �5 ��y� �` ___ <br />GITv <br />ZIP <br />,y�7���%%i <br />TEIEPMONE NUMDER AITERNfLE <br />� / — S'� -- <br />DAT� <br />