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rvrrctt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> i V Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT. WASHINC70N PEIIMIT NO. <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLGA ING LOCATION V '7 7 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> CONDITIONS <br /> I. Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> I to same during construction will 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 lie installed- the existing curbs and gutters must be totally removed J <br /> and replaced at new driveway loco*ion - KNOCKING OFF OF CURB IS NOT 1 <br /> ALLOWED. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> t joint. <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 �3�• I_ �30"� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hold and Save harmless <br /> The City of Everett from any and all claims for damages. cons. <br /> expenses,or causes of action that may arise because of Installation <br /> and maintenance of the ImPlovemenl or other right-of-way use <br /> herald applied'n and further agrees to remove some upon notice <br /> DEPARTMENT APPROVALS from the City dnd Id replace pubhC properly damaged thereby. <br /> SEWEn IURIMUNR 4IiUNS <br /> DRAINAGE TRAFFIC ���TE/�STNQ Y CA-3 /L s �I✓� <br /> WATER PLANNING <br /> STREET AbpI1E55 �O �/ I <br /> dT ZAP� CITY — 'IIP <br /> Ate' uv 1 ATE ��7-d y�y <br /> ,/-''' TElf7NONE NUMBER At TEANATE <br /> 77 <br /> E C N RUCTED DATE uAT[ - <br /> CONSTRUCTION/AS BUILTE[ 1978 <br />