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e�•eren <br />V� APPLICATION FOR REGHT-OF-WAY USE <br />Type or print cleady with mk <br />PRESS HARD - YOU APF ''.!AKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (U�IDERSIGNED) AND FIRM RePRESENTED, IF ANY: <br />HEFEBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION 7 G' D,� L, o w� r �� �� �} E l�� <br />DRAWING (WJRK TO BE DONE) OR THREE PLANS ATTACHED: <br />CONDITIONS <br />Existing sidewalks, curbs and gutters are �ndamaged - any damage done <br />to same during construction will be repaired or, removed and replaced to <br />the P.W• Inspectors satisfaction. <br />Existing driveways should be utilized for new homes, ii ne.w driveways have <br />to be installed - the existing curbs and gutters must be :otaliy removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALLOWED. <br />All concrete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />1 <br />2. <br />3. <br />PERMIT <br />PERMIT NO. Y(�� �� - <br />PERMI'P IS VALID FOR 60 aP_YS <br />COPY OF THIS APPLICATiG TO BE POSTED <br />ON JOBSITE. <br />CALL �OR IHSSPE�"f10N 2�9-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />:;EWER <br />pRAIiJAGE <br />WATER I ; 1 ' , . �. <br />��:; ,_ . . <br />STfiEET T-� <br />COMMUNICATIOqS <br />; ;; � v@Nu�or�� <br />�� � -., _ -� � <br />���,i �iP�;t :: J��i, �l�i��0 <br />Lt <br />APFROVEO Of�,QNSTRUCTION DnTE <br />�' � <br />�,� � � o�-r�%-�/ <br />A�PRUVED AS CONSTRUCTED ��' � <br />COIJSTP.UCT'ION/AS BUILT <br />DRIVEWAY SECTION <br />� � <br />f I,� LIP <br />L30 � � 3—�1 <br />r <br />The untlersignetl ownar hereby a9rees lo hold nn0 save harmless <br />ihe Cily oi Evereti Irom any antl all claims for damages, cos�s. <br />anpenses. or causee ol action lh�i may anse because ol in5iallabon <br />an0 mamtenance oi Ihe improvemenl or oiher righl-of-�vay use <br />herMo app�ietl lor antl IurNer bgrees lo remove sBme upon nolme <br />Irom Ihe City cnd lo replace public Oroperly damagetl Ihereby. <br />S/`�.�/ISii�p 7� Gu�LGIFJMS /NC, <br />�l�%l.�' �/ � (��'��'� �/ <br />SIGNATURE O( APPLI( >NT <br />�o ao�[ yi9 <br />Ao%7�z�«.hn./.� cc�.9 9�0.33 <br />C�TY Z�P <br />8z�-o y � <br />iELEPHONE NUh�DER N�TERNATE <br />7—/ —�O <br />