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evt•rctl <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink ( 1 <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKL <br /> EVERETT.WASHINGTON PERMIT NO. <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: r /iQr I- 1� L—Q jli; ' :Z-uc . <br /> HEREBY APPLIES FOR PERMISSION TO I ty r IF hr -+ <br /> AT THE FOLLOWING <br /> DRAWING (WORK(WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> v3 <br /> CONDITIONS <br /> 1. 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 satisfaction. <br /> 2. Existing driveways should be utilized for new homes, j I 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 /> a <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. <br /> rr <br /> CALL FOR INSPECTION 259-831 1 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and aero harmless <br /> the City of Everelt from any and all claims for damages, costs, <br /> e.pensee.or causes of action that may arise because of installation <br /> ofd maintenance of the Improvement the, right-of-way use <br /> hereto applied for and further agrees 1 o ove same upon notice <br /> from the CaFiy end to replace I IF er IFF damaged thereby, <br /> DEPARTMENT APPROVALS -- / <br /> SEWER COMMUNICATIONS <br /> C <br /> DRAINAGE . ! '.� I i [I �r...� I T AML ASS <br /> WATER PLAN INI�G STREET <br /> AP R V C OR ION" T— DATE -7I-7 <br /> ' TELPMOETE NUMGER ALTERNATE <br /> APPROVED AS CONSTRUCTED [FAIL ONE <br /> u1�Il ! ! I.I: II1;: fI II IEE 1978 <br />