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everen <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WUHKS <br /> EVERETT,WASHINGTON PERMIT NO. ��� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY. <br /> HEREBY APPLIES FOR PERMISSION TO----- <br /> AT <br /> O— —_AT THE FOLLOWING LOCATION I D � .S t• �' C! — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> amage done <br /> 1. Existinsidewalks,to same during conauuction r!)s andw lltberrepair A os are r, removed and replaced to - <br /> the P.W. Inspectors satisfaction. <br /> 2. Existing driveways should be utilized for new homes, 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 CURET 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 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED r LIP <br /> ON JOBSITE. 30'�._- . —.�.3a'. <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION Il.,. uoeerslgneo owner hereby agrees to hold and Save harmless <br /> •� City of Everett from any and all claims for damages. costs, <br /> •penses.or causes of action that may 81190 because of Installation <br /> and maintenance of the Improvement or Other fight-of•Wsy use <br /> hereto applied for and further agrees to remove same upon relics <br /> from the City and to replace public properly damaged Ihaieby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE _-- TRAFFIC <br /> WATER PLANNING OSIUNAIUAE OF APPOCANI <br /> P� pox le <br /> STREET ADD ESS <br /> , IFP <br /> 90 <br /> S R�OT— c"IEA R ON � C2,7-at/ �� <br /> TELEPHONE NUMBER ALTERNATE <br /> Q1� ED AS CONSTRUCTE DAIS DATE <br /> CONSTRUCTION/AS BUILT IEE 1978 <br /> 1 <br />