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— I <br /> is <br /> everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type Or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> PERMII NO. <br /> EVERETT. WASHINGTON <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. Ir ANY:_—_ - <br /> HEREBY APPLIES FOR PERMISEION TO_-------- -- <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> to same during construction will .,e repaired or, 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 CURB IS NOT <br /> ALLOWED. A <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> ii <br /> f <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS —� <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. 30" _ <br /> 1 <br /> CALL FOR INSPECTION 259-881 1 !' <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees ld hold and save harmine <br /> the City of Everett from any and all Claims for damages, costs. <br /> expenses.cr causes of action that may arise because al installation <br /> and maminnance of the improvement or other right-Of-WAY use <br /> nelato applied lot and lurther agrees to remove same upon notice <br /> Irom the City and to replace public property damaged thereby.- <br /> DEPARTMENT APPROVALS <br /> SEWER LOMktUNiLA•IONS <br /> syelLS? v,o 9' wi/1-i4Hs /AJC, <br /> DRAINAGE ,(//�/�L <br /> ,Irz 06 <br /> WATER PL aNNiNO SIONa SURE OF APPLICANT <br /> STREET <br /> ~_---_-. Ln♦ <br /> DAIS 9.27 <br /> A N <br /> � ,ELI PI.UNE NUMIIER AL,LRNAQE _ <br /> APPROVEDAS OON TRUCTED DATE DA'r <br /> CONSTRUCTION/AS BUILT Fri 1978 <br />