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EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIFM REPRESENTED, IF ANV: <br />HEREBY APPLIES FOR FERMISSION <br />AT THE FOLLOIVING <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� <br />? "6 ��� <br />PERMIT NO.—� <br />COND� damage done <br />are undamaged - �Y d to <br />1. <br />?� <br />3. <br />curbs a�d gutters Cemoved and replace <br />Ex:sting sidewalke, aired or, <br />to same during construction will be rep <br />the P.w-inspectors satisfaction. <br />gx:sting driveways should be utilized foru ters must�be t t llylremoved a� <br />to be installed - the existing curbs and 8 <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS Nr_ <br />ALL_ p� D. <br />All concrete removals must be saw-�ut or taken out to nearest expansio�� <br />joint. � <br />�pHS <br />W/ �qN <br />a�� �.� � ��,� C/ s� <br />: o <br />� <br />��� <br />� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IPiSPFCT1�DPi 269-887 1 <br />24 HOURS BEFC�RE CONSTRUCTION <br />SEwER <br />DRAINAGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />� 'l rl , c� C : ; -1 <br />STREET ��I `� l`+ I� Ci .�I :"1 �,'t <br />I �i L i ;� <br />/y ." � � /�. � G <br />qPPROVED RCO STRU�Tf(-��J t% ,��� �ATE <br />. ... _.. _ _.......... _ .. ..... ... ......... <br />r..„ .... ......... .. <br />APPROVED AS COfJSTRlj4TPDl:_'.�G ^ DATE <br />� �n'.t� ?>!.�,',�ii _�P�:::9 <br />INITIAL INSPECTION REQUEST[D <br />DRIVEWAY S�CTION <br />� <br />+I" LIP � <br />� 30�� _ 30�� <br />The undersi9ned owner hereby agrees Io hold and save harmless <br />Ihe City ol Evereit �rom any and all claims lor tlamages. costs. <br />ezoenses. or causes ot action Ihat may arise beWuse oi installation <br />anU maintenance o' �he improvement or olher rigb4of-way use <br />hereto apphc0 for and furl�er agrees to remom same upan notice <br />irom Ine City and lo replace Oublic praperty tlamaged ihcieby. <br />.�f�El�1S��)U y Lt_:iL/_ /.,);!S �:tl� <br />/�/"../rf(' �,il1r�- j .�7, <br />�IGNFT�JFE OF APPLICANT <br />Gi /%/'V �✓� % <br />A�DRESS { ` <br />l�� ( /% (.� �..�I% �-I�l�..� �% <br />/% /�/ iJ <br />CITV 21P <br />�-; --'�- •^�j'"// <br />TELEPHONE NUMBER y� I.LTERNALE <br />� ��J'V <br />1976 <br />