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I <br /> I <br /> I et vrreft <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> VType or Print Clearly will)Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON (�.y. ^PERMIT NO. <br /> APPLICANT (UNDERSIGNED) AND niim REPRESENTED. IF ANY: �7C A R I E I\ eD T�IJC r ` <br /> HEREBY APPLIES FOR PERMISSION TO = �F'E E I L–I/ (,J VAJ 1 /, <br /> AT THE FOLLOWING LOCATION —PI <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 Satisfaction. <br /> 2. Existing dri, ewayS 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 CUR13 IS NOT <br /> ALLOWED. - <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 1'. LIP <br /> ON JOBSITE. <br /> CALL FOR INSFIECTION 259-661 1 '30'x- �330 .j <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hold and save harmless <br /> 'r- City of Everett from any and all claims lot damages. costs. <br /> I,.Ire,nses.or causes of action that may aria hecause of Installation <br /> rind mamtenance of the Improve menl )I her light-of-way use <br /> hereto applied for and further agrees 1 ore same upon notice <br /> from Ina City and l0 replace pub pr ny damaged )hereby. <br /> DEPARTMENT APPROVALS <br /> aEWER GOMMl1NiC AtIONti <br /> DRAINAGE TRA"'C - <br /> WATER PLANNING / ;ii Or APP) <br /> STREET ��� s <br /> Ir <br /> AD ,5 <br /> ZIP <br /> APPROVED R CONSTRUCTION / TE �_s�/W- ✓ 717 <br /> SaE�Ire Al 15NAtE <br /> �PROVEO AS CONSTRUCTED DATE Daq VXE' <br /> CONSTRUCTION/AS BUILT r1f 1978 <br />