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e <br />everen <br />, I�I AP�LICATIOM FaR R9GMT-OF-WAY 115� PERMIT <br />U <br />Typc or orint clearly with mk , <br />PRESS HARD - YOU ARE MAKING COPIES � <br />PUBLIC WORY.S <br />EVEPETT, WASHINGTON PERMIT NO. �'C�"-i��� <br />APPLICANT (UNJERSIGNED) AND PIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION /�7 �7" — 7 t� �/: S� .,, �"!/E'.%e// �C/l / BZC�_ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS AT7ACHED: <br />CONDITIONS <br />1. Gxisting sidewall<s, curbs and gutters are undama;r:d - any damage done <br />to same during construction will be repaired or, removed and replaced to <br />the P.\V.Inspectors satisfaction. <br />2. Gxi;t�ng driveways should be utilized for new hom�s, iE ne�.v driveways hav� <br />to be inscalled - the existing curbs and gutters must be to'ially removed <br />and replaced at new drive�vay location - 1<NOCI:ING OPF OP CURG I5 NOT <br />ALLOIVCD. <br />3. All concre�e removals must be saw-cut cr taken out io nearest expansion <br />joini. <br />PEF6MIT IS VALID FOR 6lD DLlYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON ,lOF3SITE. <br />CALL FO� INISPE::TIOM �59-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />S[WER <br />OPOINAGF. <br />W�TEfi <br />DEPP.RTMENT APPROVALS <br />COMIdUNICAilONS <br />iP�FfIC <br />PLANNING <br />( �� , ��. i % ' 1o//G / 1'0 <br />APPROVEDP C_N$TRUCTION'.'��.�' �j_) niE <br />���; _ : r6 �� �1 <br />, / , <br />APP PJI�S�S�TED OnTE <br />V <br />' COMS i �UC'I ION/AS BUILT <br />DRIVEWAY SECTION <br />I" LIP <br />�,�30'e � � _30" � <br />i � i' 1 <br />T�e undersignetl owner hereby egrees to hold and save harmless <br />ihe Cl�y ol Everett Irom any antl :II claims lor tlamages. cosls, <br />expenses. or causes o� ac�ion ihat may arise because of installalion <br />and mantenance ol �he improvement or other n9ni-ol-way use <br />hereto appbe� lor antl lurther egrees lo remove same upon nolice <br />Irom �he City and to �eplace publ¢ property damaged ihereby. <br />r% `'j. �. ���-�S%�,D �% <br />�iL /�✓r������ Gti/GL/.�.1/ S <br />SIGNATURE OF APv�iLANT <br />ro '�X �J �i <br />np9RE55 <br />�,�k /� �r 9bo33 <br />CITV $IP <br />�z 7 -04�+Q <br />TELEFHONE NUM1'�E❑ FLiERNF1E <br />