5 77TH PL SW 2016-01-01 MF Import

:v ICV CFCII ® APPLICATION FOR RIGHT-OF-WAY USE PERMIT �j Type or print clearly with Ink PRESS HARD-YOU ARE MAKING COPIES �} PUBLIC WORKS PERMIT NO EVERETT,WASHINGTON APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: HEREBY APPLIES FOR PERMISSION TO 5 T~ �l. 5 r — AT THE FOLLOWING LOCATION 77 U/_. _ — DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: 5 k CONDITIONS 1. Existing sidewalks, curbs and gutters are undamaged - any damage done I to same during construction will be repaired or, removed and replaced to the P.W. Inspectors satisfaction. 2. Existing driveways should be utilized for new homes, if new driveways have to be installed - the existing curbs and gutters must be totally removed and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT ALLOWED. I 3. All concrete removals must be saw-cut or taken out to nearest exp:nsir n joint. DRIVEWAY SECTION PERMIT IS VALID FOR 60 CLAYS COPY OF THIS APPLICATION TO BE POSTED �— ; I" LIP ON JOBSITE. _I430',j CALL FOR INSPECTION 259-6a 1 1 24 HOURS BEI ORE CONSTRUCTION The undersigned owner hereby agrees to hold end save harmless The City of Everett from Any and all claims for damages, costs. expenses.or causes of action that may erne because of Installation and maintenance of The improvement or other right-obway use herelo applied lot and further agrees to remove same upon notice from the City and to replace public property damaged thereby — DEPARTMENT APPROVALS SE_WE p- ---- — COMMUN uATIONS SyAesn�o r Lui 4n;vOh1J ORAINAOE TRAFFIC �� 5 AZURE OF APPLICANT WATER j; 1n�] � � f� ANNINIi /�� Q(� y STREET i n Q ADORESS /C � 60,0 /Qa/�J /////////JJJ OF I. � t✓ sx A u i I OAtE 'r R7_NUMOEa DY, Y AL ERNATE DAI I ELEPNONE 1�—