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� Lr <br />eVc��n APPLICA3'ION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or prinl cleady wdh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS �" <br />EVERETT, 1NASHINGTON � _.,c., P.ERMIT NO. �._S[� 'Z l� <br />APPLICANT (UNDEHSIGNED) AND FIRtd REPRESENTED, IF ANY:---��N'1 �S/'i�.// f/ Clr07✓a-L _ <br />/ •--¢ �i�%GU <br />HEREBY APPLIES FOR PERMISS�ON TO— � 5 l� �, <br />AT THE FOLLOWING LOCATION <br />DRAWiNG (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />CONDITIONS <br />1. Existing sidewalks, curb and gutters are undamaged. <br />Any damage done to same during construction will be <br />rep.r ^ed or removed and replaced to the Public �Vorks <br />Inspector's satisfaction. <br />2. Wheu removing existing sict�walks and curbs and gutters <br />to install new driveway all removals must be saw-cut or <br />removed to nearest expansion joint. <br />3. The existing curb and gutter must be totally removed <br />and replaced at new driveway location. KNOCKING OFF <br />OF CURB IS NOT ALLONED. <br />PERMIT IS VALID FnR 60 DAYS <br />COPY OF THIS APPL.ICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FCDR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />S`:WEP <br />DRNINPGE <br />WATER <br />STPEET <br />DEPARTMENT APPROVALS <br />COMMUNiCAfIONS <br />II� <br />PLANNING <br />C% , �r� 3��— <br />APPROVC� F CON TRU TIO��TTA�E . <br />_-- � f� - - �� �-/ <br />PPROVEDASCONSiF:UCTCD DntE <br />CONSTRUCTION/AS [3UILT <br />DRIVEWAY SECTION <br />j I�� LIP _/ <br />Irso�;,� __— t ao„ <br />•T' <br />The undersigned owner �ereby agrees lo holtl enE seve hermless <br />the Cily ot iverett Imm any end all cleims lor Camages. wsts. <br />expenscs, or causes ol action Ihat may an[e beceuse ol inslallabon <br />anE mn�nlena^ce oi Ihe impwvemenl or othcr right-ol-way use <br />�eielo TpOLeA lor antl lurihei 2g�ee5 Io removC same u0on nnlice <br />bOm Ihn C�ty ana lo :eplace Punlm pmferty EamageC Ihereby. <br />I <br />�[�r���—/��-` <br />S�GNRIUFE Of APGLIC�Nt <br />f G��•� � 9 y <br />Ao�+Ek� ��2 G�iw %� E';I.� 5' <br />�— <br />L�lv Z1� <br />�3�' o��_ <br />IELF.P11 NENUMBER ALIERNFLE <br />pAiE � <br />