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LAPPLIC�'APPLICATIONcOR RIGHT-OF- NAY USE PERM'T <br /> 7ypE or print clearly with u-0, <br /> PRESS HARD - YOU ARL MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. �— <br /> EVEFIETT.WASHINGTON L // <br /> APPLICAI4r IUNDERSIGNEI.1 AND FIRM REPRESENTED, lc ANY: <br /> HF iEBV APPLIES FOR PERMISSION TOS1 <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> I. 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 satisfz.ction. <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 /> ant-' replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br /> ALLOWED. <br /> I <br /> 3. All concrete removals must be saw-c:it or taken out to nearest expansion L <br /> joint. <br /> �— DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS iq - +i <br /> COPY OF THIS APPLICATIO14 TO BE POSTED 1" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 'r- <br /> 24 HOURS BEFORE CONSTRUCTIOW The undersigned owner hereby agrees to hole and save harmless <br /> the City of Everett from any and all claims for damages. costa. <br /> r.penses.of causes of action that may ansa because of installation <br /> and maintenance ld the Improvement or other right-of-way use <br /> hereto applied for an!further agrees Ip remove same upon notice <br /> from the City and to replace public properly damaged thereby. <br /> DEPARTMENT APFROVALS <br /> SEWED COMs111NI L;n111 <br /> DRAINAGE -- TRA <br /> FFIC <br /> \-- <br /> WATER \\ \ ' P`11gryING - SI— .Inc OF APP rCANT y Z Q <br /> 4 ADDRESS <br /> STREE \ ,1 t. /y4/DU� 7 f-e <br /> CITY <br /> Zip <br /> TELEPHONE NUMRER ALTERNATE <br /> ,NP AS CON$ RUCTE DATE <br /> DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />