15 77TH ST SE 2016-01-01 MF Import

everetl APPLICATION FOR RIGHT-OF-WAY USE PERMIT Type or print clearly with Ina PRESS HARD - YOU ARE MAKING COPIES �—\\ PUBLIC WORKS EVERETT,WASHINGTON PFRMIT NO. �O� I APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: HEREBY APPLIES FOR PERMISSION TO AT THE FOLLOWING LOCATION 15 77 7 Iy IF, DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: t CONDITIONS 1. Existing sidewalks, curbs and gutters are undamaged - any damage done to same during construction will be repaired or, removed and replaced to the P.W. Inspectors satisfaction. 2. Existing driveways should be utilized for new homes, if new driveways have to be installed - the existing curbs and gutters must be totally removed and replaced at new driveway location - I<NOCKING OFF OF CURLS IS NOT ALLOWED. 3. All concrete removals must be saw-cut or taken out to nearest expansion joint. DRIVEWAY SECTION PERMIT IS VALID FOR 60 DAYS {� COPY OF THIS APPLICATION TO BE POSTED I I" LIP ON JOBSITE. I.. CALL FOR INSPECTION 259-881 1 r30•T• a30" 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless the City of Everett from any and all claims for damages. coats. elpenses.or causes of action that may arise because of Installation ePIT maintenance of The Improvement or other right-of-way use hereto appllRd for and lusher agrees to remove some upon notice from the City and to replace public properly damaged thereby. DEPARTMENT APPROVALS nn �I SEWER COMMUNICATIONS SHE'IZ�AY CO /A.ZI.VIX /I1, DRAINAGE TRA/EIC ,��•J WATERM NINO 5 NAtURE OE APPLICANT q /� STREET ,I fJ �T�- ADDRESS CITY lipI APPROVED FOR CONSTRUCTION I DATE of 7 oCeaozy _I TELE PRONE NUMBER A'IERNATE AP OVEDASCO 5 UG7 D�' DATE DATE CONSTRUCTION/AS BUILT IEE 1978