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e <br />everen <br />� AF��LICATIUN FOR RAGHT-C��-WAY dJSE <br />� Type or print clearly with mk <br />PRESS HARD - YOU ARE "•iHKING COPIES <br />PUBLIG WO'iKS <br />EVERETT.��VASHINGTON <br />APPLICA�T (UNDERSIGNI_D) AND FIRM HEPRESENTED, IF ANV <br />HEREBY APPLIES FOR PERMISSION TO <br />pI�RMIT <br />PERMIT NO._?'���.3y` _ i <br />AT THE FOLLOINING LOGATION_ 'U'Y �7 — 7 t� �._5�.._�_EvE�eff . �c%_ S'<�.ZCJ�_ <br />DRAWING (WORK TO 13E DONE) OR THREE PLANS ATSAi:HED: <br />CO�DITIONS <br />1. Gxisting >�dewall<s, curbs and gctters are undamaged - any d�muae done <br />to sarne during construction �vill tie repaired or, removed and replaced to <br />the F.�V. inspectors satisfaction. <br />2. <br />3•. <br />rxi;t�ng driveways should be utilized for new homes, if nec� driveways have <br />to be. installed - the existing r_urbs and gutCers must be total;y removed <br />and replaced at ne�v drive�vny locatioo - I<NOChI[JG OPt� OF CU2f3 IS NO"f <br />ALLO1 � cD• <br />All conccete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />iPERMIT 6� VR��6D �Q+Fi 6� DAYS <br />COPY OF THIS AF'PLICATION TO BE POSTEU <br />oN �ossrre. <br />�ALL FOL� INSF�ECTIOPI 259-881 9 <br />24 HOURS SEFURE CONSTRUCTION <br />SEW[P <br />�RAINr GE <br />WATEH <br />DEPARTMENT APPROVALS <br />COMldUNICBTIUNS <br />IqAFFIC <br />7 <br />- PL! NNiI�G <br />%c�i�� � _ $--�<L���----�o �i��'.�- <br />APP90VE� � .. N IRl1CTION -�, i i nre <br />;,: <br />��O/ � � � ' � �(� 7t/� �' 1 <br />na� r�.S NS RUCTED onTE <br />rONSI'RUCTION/AS AUI!_T <br />DRIVEWAY SECTION <br />I" LIP <br />� �o" �— — -� 3� <br />The untlersi9netl ownor hereby agrees to holtl nnd savc harmless <br />the City ol Everett Irom any and all claims :ar tlamayes, wsts. <br />expenses. or wuses of action iha� may arise because ol inslallation <br />antl mainienance ol Ihc unprovement o� olher righDubway use <br />here�o appliea �or and furme� agrees to remove same upon nohce <br />Irom Ihe Cip� antl lo �eplite p'iblic propeny tlama9e0 thereby, <br />� �, .. �.; �/E,r: ST.4.0 ¢� <br />'L fL4����,K. Gli/CL/.���i <br />SIGNPTURE OF AV'LICANi <br />f'o �X 9 � <br />ApDRE55 <br />,���k /� � 9bo33 <br />CiTV 21P <br />�Z 7 -D4G¢ <br />1ELEPHCNE NUAIBER ALiEBNATE <br />DATE <br />