114 79TH PL SE 2016-01-01 MF Import

i i C,'CEC11 . APPLICATION FOR RIGHT-OF-WAY USE PERMIT Type or print clearly with Ink . PRESS HARD - YOU ARE MAKING COPIES PUBLIC WORIca PERMIT NO..29140!1 — EVERETT WASHINGTON APPLICANT (UNDERSIGNED) AND FIRM REPRESENTE: IF ANY: -- HEREBY APPLIES FOR PERMISE'ON TO_-- - -- - ---��- 79Lei aL SE. EiiEa' 6EJ�i_ Jd1 — AT THE FOLLOWING LOCATION -�-- DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �I CONDITIONS 1. Existir; sidewalks, curbs and gutters are undimmed - any damage done to same during construction will be repaired r:, removed and replaced to the P.W. Inspectors satisfaction. f2. Existing driveways should be utilized for new homes, if new driveways have to be installed - the existing curbs and gutters must be totally removed and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT ALLOWED. 3. /111 concrete removals must be saw-cut or taken out to nearest expansion joint. I DRIVEWAY SECTION PERMIT IS VALID FOR 60 DAYS COPY OF THIS APPLICATION TO BE POSTEE If� --- I P' LIP ON JOBSIl .: 13 —___ Ti CALL FCR INSPECTION 259-881 1 I 24 HOUf1S BEFORE CONSTRUCTIONI The Undersigned owner hereby agrees to hold and save harmless Ili. Cily of Everett from any and all claims for damages. costa. e rienses.Or causes of action That may arose because of Installation and maintenance of the Improvement or other rlghl-of-way use I preto applied for and further agrees to remove same upon notice hom the City and to replace public property damaged thereby. DEPARTMENT APPROVALS SEWER COVIOUNICATIONS DRAINAGE ---_- i,_A1 1. --- / / WATER PL-A N V INa STREET SIGNALU P C AU ESS �� AN YJ3 N� --� -PPR(U D � �rYr'u G TELEPNONE NUMBER AEtERNAI[ DATE P VE f5�`� RUC ED DA'E CONSTRUCTION/FS BUILTFEE 1978