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everett <br /> APPL:CATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. T <br /> EVERETT.WASHINGTON <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED.IF ANY. --- <br /> HEREBY APPLIES FOR PERMISSION TO— <br /> r if <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <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. f <br /> 2. Existing driveways should be utilized for new homes, if new driveways have 1 <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 /> ALLONED. A <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 <br /> ON JOBSITE. �gD;� _ 3I <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages. costs. <br /> e.penses.or causes of action that may ense because of Installation <br /> and maintenance of the Improvement or other fight-of-Way use <br /> t.eeto applied for and luither agrees to remove same upon notice <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> Sflor2 S71940 7 4j 9'vS /A,C, <br /> n <br /> DRAINAGE <br /> WATER ill I PLANNING 1111 I SAN TORE OF AP LILAN � <br /> J AO Qox �W 9' <br /> STREET sQI ADDr1E55 <br /> f.t)/> <br /> iL IIP <br /> ROV F R C NST C IU �' i GiT&Z7 -092Z -- <br /> tU <br /> TELEPFrONE HUMBER µrEnNAIE <br /> WP:R DASCONSTRUCTED D TE DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />