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'a <br /> I <br /> cvcrctt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prml clearly wilt' Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUELIC WORKS PERMIT NO. <br /> EVERETT,WASHINGTON <br /> F L L <br /> i APPLICANT (UNDERSIGNED) ----KJ- <br /> ED) AND FIRM REPRESENTED, IF ANY �q <br /> HEREBY APPLIES FOR PE,AWSSION <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 - a,Ty damage done <br /> to same during construction will be repaired or, removed and replaced to <br /> f the P.W. Inspectors satisfaction. <br /> 1 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 1. �---- --� <br /> COPY OF THIS APPLICATION TO BE POSTED 1" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-681 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> Ino City of Everett from any and all clatma for damages. costs. <br /> expenses.or causes of action That may arise because of I IIelIOo <br /> and maintenance of the Improvement or other ol-way use <br /> hereto applied for and Imlher agrees to iSpyairiff same <br /> art uponollbe <br /> from the Cu nrI to replace pu party damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE _— TRAFFIC <br /> . ',IGNATURE Of AheEIL T <br /> PLANNING M 121 <br /> WATER e 47- AvoTIES% <br /> STREET 11 / `i /— „/• / / L-IaI !?0C0S� <br /> CITY ZI{ <br /> p ROVED FO CiSTRUCT <br /> U I C"'E — <br /> ' ALTERNATE <br /> - •- - TFL'RMDNE NUMDEo <br /> pAIE. DATE <br /> APPROVED AS ED '1'.1,: <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />