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everetl <br />� APPLICATION FOR RIGHT-()F-WA�' US� PERMI� <br />TyUe nr print clearly wit;i mk <br />PRESS HP,RD - YOU ARE MAKIP!G COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. . - <br />APPLICANT (UNDERSIGNEJ) ANG (-IRM FEPRESENTED, 1= ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCA710N _ _. __ � "' `� �-'� "" " ' ' ' � <br />DRAWING (WORK Tf) BE iJONE) OR THREE PLANS ATTACHED: �J"���6 �gb <br />COND� dama e done <br />re undamaged - any g 3 to <br />1 <br />2. <br />3. <br />g�cisting sidewalks, curbs and gutters a <br />to same during consteudion will be rePaired or, removed and rep ace <br />the P.W• Inspectors satisfaction. <br />Existing driveways s''iould be utilized forUSYe S°n�i'be t t llyl emoved ave <br />to be inlaced at new driveway 1 cat on g <br />KNOCKING OFF OF CURB I� NOT <br />and re� � <br />ALL^�i?• ansion <br />All concrete removals must te saw-�ut or taken out to nearest exp <br />joint. <br />�/ ��~ ` d� <br />u,l � o � <br />,� a <br />7 �Y ��p_ <br />�y`'`� <br />PERI�IAIT IS VALIp FOR GO DAV s <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOE3SITE. <br />GALL FCIR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTlON <br />SEWER <br />ORnINNGE <br />DEFARTMENT APPROVALS <br />COMMUNICFTIONS <br />TqAFFlC <br />�� {'�. � ��� <br />WATER t L' '1 �l l.I' �. PI�AnNNG --- <br />�� J � _ �. � , <br />, <br />STRECT <br />y`I �^ ��.i <br />�//f���L� '"—� �f� S" �v <br />APPRO�EC�/�`'{g''�-�j���I `fl�JC110N. �� ATE <br />/� � I II��I�I-� .11l . i ... <br />.��.�i�{ .ihY•�. .. �. � <br />APPROVED AS CONSTRUCiED Da�E <br />�r�n ��i��� ii�;s�ec � iora ri�:�: �o�s ���u <br />DRIVEWAY SECTION <br />I'� LIP <br />�3p11 I � � 30' <br />--►j�---- 'T 1 <br />The under,iqned awne� hereby ugrees to holE antl save harmless <br />Ihe Ci1y ol [verett 'mm any antl ell clnims lor Jama9e,, wsis. <br />expenses, or causes of action Ihat may arise bewuse ol insinllation <br />antl mamlenance ol Ihe improvemenl or other righl-ol-wav use <br />hereto app�ied lor antl Wrther agrees lo remove same upon notic^ <br />Irom Ihe Ciiy ana lo replace pubhc prop�rty tl�magetl inereby. <br />ra <br />S/ �i/�:iJJ Y r. t�iLl-/ /�' /� //�✓G <br />' � /i r� � ��. � /[.-'li � � . � � - <br />SIGNf�IURF:OF APVLICNNI <br />_' . �o -�� x �ii � _ — <br />noor.ess ' <br />l i�� ( � <br />�������/%�llJ i/.1/'� �ZSL.�._. <br />��, ; <br />��������� <br />TELEPNONE NUMBEF 4�TGRNPTE <br />�-/—So _ <br />DATE <br />