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i <br />everetl <br />� A�pLZCAiIOPV FOF� �IGHT-I�F-�IN,�Y I�SE <br />Type or print clearly wlth ink <br />�'fiESS HAFD - YOU ARE MAKING COPIES <br />PUBI.IC WORKS <br />EVCRF_TT,WqSHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:__ <br />HEREBY APpLIES FOR PERMISSION <br />P�RII�IT <br />PERMIT NO. <br />I AT THE FOILOWING LOCATION__7� i:-<� <br />I 1_�: �., f;,, ��i r��-� — <br />I DRAWING (WOS�N, TO BG DONE) OFl THREE PLANS ATTACHED: �`� �-�'PG <br />CONDITIONS <br />1. Existing sidewalks, curbs and gutt:ers are undamaged - any damage done <br />to same du^ing construction will be repai� ed or, removed and replaced to <br />ttie P.W. Inspectors satisfaction. <br />2. Existing driveways should be utilized for new homes, if. new driveways have <br />to be installed - the existir,e curbs and gut.cers must be 'otaliy removed <br />and replaced at new driveway iocation - KNOCI<ING CrFF OilCURB IS NO'f <br />ALLOWED. - <br />3. All concrete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />OKw �f �wd/�o,aS <br />� / S,F' <br />a.5 �`''! /� � � � �jP 1 <br />� _ �-� <br />� <br />PERIVIIT 1�"s VALB� F'OR 60 DAYS <br />DRIVEWAY SECTION <br />C7PY OF THIS APPLiCATION TO BE POSTED I ---� <br />ON JOBSITE. i�" LIP J� <br />CALL FOR INSPECT'ION 259-881 1 I�30 t --�30" <br />24 HOURS BEFORE F:,'ONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEP COMh1pNiLAT10N5 <br />ORNNACE iRhFFiC — <br />WAtER ; PL4NNING <br />STqFEi <br />^ ci��l. <br />C�rc� -�1 2! �'�//l'Q <br />APPflOVED F R(,ONS7RUCTION i � p�.� <br />PPVHOVFD,15CrlN';tf�UCTo� --'— _ __ <br />The unCersignetl own�r hereby agrees tu holtl and save harmless <br />ihe City ol '[ •eretl Imm any end atl Naims �ar rlamaqes. cosls, <br />eepenses, or ,;auses ot action Ihal m2y arise because ol installahon <br />antl mamtenance ol Ihe improvement pr pih:r ngh4ol-way use <br />hereto applietl Im .intl luriher agrees to remove same upon not¢e <br />Irom Ihe City antl to replace puGLc pmpeyy damngetl �hereby, <br />��l�%�l �%/�/�� �L-1. ���1 /_�l �/f' %rL1i <br />��/����//( �..� .,�.. // <br />� GNAiURE OF APP.ICANT : - <br />,,=%�, � i�� y r/; j�-• � . <br />AODRE55 <br />G/ �1.�/:. / iJiJ J�! -`i% % �'�'.�� <br />cir`v � <br />/� / �,// iIP <br />� l ��� / ( .'r� � � <br />ttLti�lf0'�f hUL!HU! - -_ <br />.�t � LPry.t l t <br />� - / --_ �. �f <br />�.... _.' . . ' . ___. �_ <br />