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evrretl APpLICATION FOR RIGHT-OF-WAY �SE PERMIT <br />� TYPe or prin� clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOfiKS PERMIT NO.�-- <br />EVERETT. WASHINGTON <br />APPL�CANT (UNDEF•�IGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOFI PERMISSION <br />AT THE FOLLOWING LOCATION <br />;r <br />DRAWING (WiiRK TO BE DONE) OR THRE� PLANS ATTACHED: <br />�"6"�J <br />CQND� I� tters are undamaged - anY damage done <br />d replaced to <br />1. <br />2. <br />3. <br />Existing sidewalks� ���bs �d gu removed an <br />to same during construction will be repaired or, <br />the P.N• lnspe�t��s satisfaction. if new drive�vays have <br />s should be utilizad for new homese �, removed <br />gxisiing driveway utters r.iust be tota.l� <br />to be installed - the existing � i �ation g KNOCKING OFF OF CURB 1S NOT <br />and replaced at new driveWay <br />ALLO� <br />All concrete remo��s must be saw-r.ut or taken out to nearest expansi�+n <br />joint. / . S <br />K <br />�Jf" <br />NV � <br />���� w�/� � ! S� <br />a t�„ JY� � �9/� � <br />s �0 <br />�'�-�° <br />�l <br />PERMI'T IS VALIiI FOR 60 PAYS <br />(:QPY OF THIS APPLICATION TO BE POSTED <br />ON ,;�'�E�ITE. <br />CAL.L FOR INSPECTION 259-887 7 <br />?4 HOURS BEFORE CONSTRUCTION <br />SEWER <br />OAA�N/GE <br />WATEP <br />DEPARTMENT APPROVALS <br />COMMUNICATiONS <br />TRAFFIC <br />PLANNIAG <br />� 1 r, n, _' ' ' r'1 <br />STREET I j � :1 � , I . _i ` I ' � ��� i _ <br />i�� � <br />��; � �-� ,•- �'/i�5'o — <br />qP ROVED ,RCO STRUC��7jpr �� JIII, <br />� _ _ _- _ � _.�_. .i—. . . <br />� :J �. . '�ui � . . . <br />DRIVEWAY SECTION <br />I � <br />� I'� LIP <br />I 30�� � 30„ <br />� <br />The un0ersignetl ow.ier hereby agrees �o I�oltl and save harmless <br />the Ciry ot Everett irom any nnd a�l claims tor tlamages. costs. <br />expenses, or causes oi ac�ion Ihd� may dn5e �e<ause 0� installabon <br />an0 mainlenance of Ine imOrovement or other nght-ol-way iae <br />here�o applietl lor antl luriher agmes to remove snme upon nobce <br />Irom ihe Cily antl to �c0���e Oubl¢ propeity tlamaged Ihereby. <br />�f/��'lSi�?U Y;c�iG/_ /.)%/S ��t1C, <br />�/1!� �/T/� ll /.,��'�fL'�' l � <br />iGNATUAE OF APPUCANt <br />��� �� / <br />AODRESi / / ` <br />/ �' <br />/.✓/;r�/ %/ ' '�/ %-S'�. ).� S <br />ci*r iiv <br />t' _-'�_ �^�j%/ <br />�-, <br />TELEPMONE NUM�EA % nLT� �IAtE <br />/_ _ l� l r <br />—/_� � - ._____.____.__ <br />� <br />