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cvcrt11 APPLICATION FOR RIGHT-OF-WAY URE: PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD• YOU ARE MAKING COPIES <br /> (Jf <br /> PUBLIC WORKS PERMIT NO. a �- <br /> EVERETT,WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO_-------- <br /> AT THE FOLLOWING LOCATION . <br /> S 77TH F/. 5'. W <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> I 1. Existing sidewalkst curbs and gutters are undamaged - any damage done <br /> { to same during construction will be repaired or, removed and replaced tL <br /> the P.W. Inspectors satisfaction. r <br /> 2. Existing driveways should be utilized for new homiest if new driveways have <br /> 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 <br /> ALLOWED. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS 4�----- - --� <br /> COPY OF THIS APPLICATION TO Br- POSTED Imo— +I" LIP <br /> ON JOBSITE. I Son I T I.30"_I <br /> CALL FOR INSPEECTION 259-881 1 <br /> 1 I t <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and saw harmless <br /> the City of Everelt from any and all claims for damages. costs. <br /> evenses.or causes of action that may arise because of Installation <br /> and maintenance of the Improv' ,M or other Ogh406Way use <br /> hereto applied fol and Willie, $glees to,emove some upon notice <br /> firm, the City and td replace public property damaged thereby. - <br /> �, DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC ���d• �I '/C/(VA�""� <br /> M 17 ��l7 ,5 At LIRE Of APPIiCAGNIAN <br /> Ij �i' 11 Gl I'lr L�NIN0 <br /> WATER 1 �D� Z/p <br /> 1( U ADDRSS�Ej <br /> APPROVED R I N DATE ALTERNATE <br /> TELEPHONE NUMBER <br /> A ROVE ASC NS RU D <br /> DALE Ott <br /> I 1978 <br /> CONSTRUCTION/AS BUILT rLE <br />