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evereU <br /> APPLICATION FOR RIGHT-IAF-WPY USE PERMIT <br /> T vpe or print clearly will)Int, <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKa <br /> EVERETT.WASHINGTON PERMIT NO. <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO _ -- - <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CON_ DiTiONS <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 /> 2• Existing riveways to be installed - the existing curbs and gutters must be driveways <br /> be utilized for new be tot llyr removed <br /> have <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 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED l �I-, LIP <br /> ON JOBSITE. 30" <br /> CALL FOR INSPECTION 259-OIE 1 0 <br /> 24 HOURS BEFORE CONSTRUCTION The underulgned owner horeby agrees to holo and save harmless <br /> the City oEverett from any and all claims for damages. costs. <br /> eApemuss.of causes of action that may arise because of inblellatlon <br /> and maintenance of the Improvement or other ight-ol-way use <br /> hereto applied for and further agrees to remove sam;)Upon notice <br /> from the I;Ity and to replace public property damagad thereby. <br /> DEPARTMENT APPROVALS -- <br /> SEWER COMMUNICATIONS / C <br /> DRAINAGE TRAFFIC /U,/LL 7/N�J 1,Ve <br /> WATER PLANNINGIO �R,E OF^APPLICANT <br /> 61t t//2 <br /> STREET ADDRESS <br /> CITY AMG Lc'A P33 <br /> GIT• P <br /> AP P. ON U TI N / DATE g2-7— Oy q�lr <br /> TEL15PI NUM � <br /> BER ALTERNATE <br /> AP OVED AS CO CTED DATE � BATF _/ <br /> CONSTRUCTION/AS BUILT FEE 1978' <br />