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1^ <br /> F — rvcrclt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. <br /> EVERETT.WASHINGTON _ <br /> S�i/E l//Elco fro ire ,c/� 5 APPLICANT (UNDERSIGNED)(UNDERSIGNED)AND FIRM REPRESENI ED, I5A 1 ,1 e. L -- <br /> HEREBY APPLIES FOR PERMISSION TO •� <br /> AT THE FOLLOWING LOCATION / 05' 79 . /' j E/ <br /> DRAWING (WORK TO BE DONE) OR THREF PLANE ATTACHED: <br /> CONDI NS <br /> age done <br /> 1 Existing willbeos are r, removed and ed any rrepla ed to <br /> to same during construction <br /> the P.W. Inspectors satisfaction. <br /> if new <br /> veways <br /> 2. utilizd for new homes to sting driveways <br /> ri ed athe should <br /> be curbs and butters mustrbe tot llytremovedTave <br /> andbe replaced at new driveway location - KNOCKING OFF OF CURD IS NOT <br /> ALLOWED. <br /> 3, P,II concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BS POSTED + I" LIP <br /> ON JOBSITE. 30'i .x301, <br /> CALL FOR INSPECTIOA 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION the undersigned twner hereby agrees to hold and gave harmless <br /> he City of Everett from any and all claims for damages. Costs. <br /> I•.penes,or taus is of action that may arise because of Installation <br /> ,,,,it maintenance of The Improvement of other nght-of-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> hom the City and to replace public property damaged Thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS aNAT;UmE�0 <br /> DRAINAGE1 TRAFFIC r ATER RJ 11PLANNING <br /> II �l Hyl z/- /kU �5w <br /> ADDRESS aAA <br /> STREET J 7 V 3 <br /> �ga1 T 1(IA � w wo o►� <br /> CITV 210 <br /> qPP yEO F TC NS UCTIv Nr l ATE 75/S , <br /> ti TELE✓x�VN1ONE NUMBER a AUERNAIE <br /> /•1 / eel `- DATE ' /� <br /> AP D S ONS UCJr. GATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />