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i <br /> everen <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �j Type or print clearlywill'Ink <br /> P�7ESS HARD - IOU ARE MAKING COPIES <br /> PUBLIC WORKS r� <br /> PERMIT NO <br /> EVERETT.WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY:— _ _ - -- ------ --'— <br /> HEREBY APPLIES FOR PERMISSION TO-- - — -- <br /> AT THE FOLLOWING LOCATION - 7 7 71!t' <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. <br /> 1 <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. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED E + I" LIP <br /> ON JOBSITE. 1-301, <br /> CALL FOR INSPECTION 259-361 1 f - <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to holo and save harmless <br /> the City of Evaretl from any and all claims for damages. coals. <br /> espe ares.of causes of Action that may arise because of Installation <br /> end maintenance of the Improvement or other right-of-Way use <br /> hereto applied for and further agrees to remove same upon notice <br /> Iron the City and to replace public properly damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICALONS <br /> S/f/.Fi?STAD Gvi LL /�9i 9 S Ali <br /> DRAINAGE _- <br /> TRAFFIC r <br /> �fj <br /> WATER A�I� ��OE AN�/ <br /> A pRE55 l .- q <br /> STREET <br /> 98@I J111. y J O CITY lip <br /> At v tNS <br /> 3fi f ..._ GATE TELEPHONE NUTAULHALTERNA7E <br /> 7P VE AS CO YII DAI DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />