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its Are <br /> � <br /> 1 <br /> cvPren <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS 7 <br /> EVERETT,WASHINGTON ;'EHMIT NO <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY -- <br /> HEREBY APPLIES FOR PERMISSION TOAT THE FOLLOWING LOCATION _L—!7 sr r —_— _----- — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> to same during construction will be repaired or, removed and replaced to <br /> the P.W. Inspectors satisfaction. <br /> 1 2. Existing driveways should be utilized for new homes, if new driveways have <br /> 1 to be installed - the existing curbs and gutters must be totally removed <br /> and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT I` <br /> ALLOWED. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> I _ <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO RE POSTED I 1" LIP <br /> ON JOBSITE. 1 -301, 1- 30" <br /> CALL FOR INSPECTION 259-8139 -1 1 w1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> The City of Everett from any and all claims for damages. coats, <br /> expenses.or causes of action that may arise because of Installation <br /> end maintenance of the improvement or other rlghl•of-way use <br /> hnrelo applied for and runner agrees to remove same upon noln:e <br /> nom the City and to replace public properly damaged thereby. <br /> DEPARTMENI APPROVALS <br /> SEWEn COMMUNICATIONS ..51 ,9v e/Gf.>iLL� S �WC <br /> DRAINAGE TRAFFIC - _ i <br /> / LJJ�i'r/Y/ <br /> WATER 5• F PLANNING / NAtURE OF APPLICANT IF <br /> IF <br /> r' d G -�;, <br /> STREET AOO�R ia <br /> A R v! NS elu I ,Irl , DATE crtQZ� nP <br /> TT.3. 1ELCEPNONE NUMSErL ALTERNATE <br /> APPROVED AS CONSTI' IC ED nATr pATr <br />