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CYcrc11 APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type Or print clearly will)ink. <br /> PRESS HARD • YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON PERMIT NO. 70/dI LZ <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> i <br /> HEREBY APPLIES FOR PERMISSION TO— - ^--'T���� 'e �— ���L'' T!�ws�S.! �?d�_t'. , <br /> AT THE FOLLOWIIJG LOCATION �/// <br /> /4 0/ r9 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHEC <br /> i <br /> i <br /> CONDITIONS <br /> I. Existing sidewalks, cr rbs 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 satisfaction. <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 /> and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br /> ALLOWED. <br /> L <br /> 3. All 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 BE POSTED +I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-081 1 I� <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everell from any and all claims for damages. [Osla. <br /> napenses,or causes of action That may arise because of Installation <br /> and maintenance of the improvement or other nghbof-way use <br /> berate applied for and further agrees to remove same upon notice <br /> h <br /> DEPARTMENT APPROVALS per The City and 10 replace publl. property damaged thereby. <br /> SEWER COMMUNICATION <br /> DRAINAGE TRAFFIC <br /> WATER PLANNING SIGNATURE GF APPLICANT VL <br /> 8Z 6 <br /> STREET ADDR 5 <br /> wO CITY IIP <br /> APP .V I - .DATE O Z / — J Y U/ <br /> 1E1EPI0NE NUMBER ALTERNATE <br /> VEDAS CONS71drICTED ' GATE DAZE <br /> I <br /> l CONSTRUCTION/AS BUILT FEE 1978 <br />