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cvrrefl <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> VType or print clearly with ink r <br /> PUBLIC WORKS PRESS HARD - YOU ARE MAKING COPIES <br /> EVERETT. WASHINGTON PERMIT N0. a% <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY;_. <br /> HEREBY APPIJES FOR PERMISSION TO __ <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: f <br /> i, <br /> CONDITIONS <br /> I. Existing sidewalks, curbs and r 'tors are undamaged - any damage done <br /> to same during construction w ,1 be 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 OFR 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 _ <br /> COPY OF THIS APPLICATION TO BE POSTED �— I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 • i" �1�30"�k <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hold and lave harmless <br /> the City of Everett from any and AI! claims for damages. costa. <br /> ""pensee,or causes of action that.nay arse because of Installation <br /> and maintenance of The Impm•-,tient Or other right-Of-way use <br /> hereto applied for and further agrees To remove same upon notice <br /> from the Cry and to re public property damaged thereby, <br /> DEPARTMENT APPROVALS <br /> SEWER DOMMUNICATIDNS SHg�z�A: v CA) IAA 14,,I - <br /> DRAINAGE TRAFFIC <br /> WATER ya NINO <br /> rNA <br /> � — lr [T �U; D�iJnl <br /> STREET 1 [J .I �Clr' V�1r_yr�'} E O <br /> ADDRES/S� <br /> C a�<� ury r <br /> A R V tON DATE Gz7if- 7 <br /> V <br /> i EIEPHONE NUMDER7 Ak 1ERNAIE <br /> 7-�— O <br /> AP OVEDA CO 5 UC D•' •' DATE DATE - <br /> CONSTRUCTION/AS BUILT EE — — 1 778 <br />