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4005 NASSAU PL 2016-01-01 MF Import
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4005 NASSAU PL 2016-01-01 MF Import
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Last modified
5/5/2017 2:01:18 AM
Creation date
2/26/2017 1:08:07 AM
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Template:
Address Document
Street Name
NASSAU PL
Street Number
4005
Imported From Microfiche
Yes
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everetl <br />� ApPLICATION FOR RIGHT-OF-WAY U�E PERMIT <br />7ype a� prmt cleady with ink <br />, PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS � <br />EVERETI. N'nsHwGTON ' _ _ � , . PERMIT '�0.��_�3_Z <br />APPLICAP�T (UNDERSIGNED) AND FIRM RFPRESENTLD. IF ANY�._1 ""—"'Y <br />HEREBY APPLIES FOR PERMISSION TO <br />�on�iu�i /.i o�y� <br />AT THE FOLLOWING LOCATION /�nJ _,�'t`�S� �f S� G�V6i'Cy,� /w��G /�-�%��/ <br />i <br />DRAWING (WORK'f0 BE DONE) OR THREE PLANS ATTACHED: <br />C(IUDI'fIONS <br />1. L-ristin ; sidewall<s, curbs and gut[ers are ur.damaged - any damage done <br />to same during construction �vill 6e repaired or, removed and replaced to <br />the P.\V. ]nspeetors satisfaction. <br />2. Gxisting driveways should be utilized for new homes, iE new driver�va)�s have <br />to be installed - the cxisting ci�,rbs and gutters must be totally remuved <br />and re�!c:ced aL ne�v drive�vay location - i<�iOCI<(NG OF1' OI� CiJ�'�Ll IS �OT <br />ALLO\Vi'D. ' — ---- -�---- <br />3. Nl concre[e rcmovals must be sa•.v-cut or tsl:en out to ncar�st expansion <br />joint. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS B�FORE CONSTRUCTiON <br />DEPARTMENT APPROVALS <br />CordrduNiC�rion5 <br />❑�AIN4GE 1RpffIC <br />� i. <br />� � � � VI rf� :.;� ��,� <br />waren � � � i !�f `{ . � di M.i rt q� <br />'IJ <br />STREEi � <br />� ���_ <br />�' <br />� �.�/ i-% � ����... . . . ...:�r,��'�y�/�� <br />��AP R ED POR I J�f. � � oniE <br />.. . �[/�y`./'f,9 � <br />` /<_ �.�� z <br />� � I� . ` �L•�i .'i+i�T �'�ll{i��l ' ��j C—J <br />�I�� I ' i 1+ � l S.'t <br />F�OVE A3 CONSTP. EU � '� o4TE <br />DRIvEWAY SECTION <br />� � <br />�I" LIP <br />L 30i� _ � _ 30" <br />r- <br />The undefsi�netl owner horeby egrees lo hold ana save harmtess <br />Ine Cny ol Everelt Irom any and all claims lor tlamages. costs. <br />expenses. or causes ol action thal mdy anse �eeause ol inslallauon <br />ana mainlenance ol Inu �mprovement or other n9nt�o4way use <br />he�clo apphed �Or end �urlbcr dg�ces to remeve same upo� nul¢c <br />Irom IhC CiIY :���� lo re0ldce p��Uhc prOperlY edmagetl Ineieby. <br />� <br />9fiNPTU�E O�.AP���CANT J <br />� � �_/ �� � ALIEFNPIE <br />TELEPNONE NUb�OER <br />OAie / <br />' �'' CONSTRUCTIOI�LIS i�Ull_T �EE — <br />— 1978 <br />,� . <br />'i <br />� <br />
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