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i <br /> lverefl <br /> APPLICATION FOR RIGHT-CF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKSz. <br /> EVERETT. WASHINGTON /' ��-� �-'O PERMIT NO. <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:� r<_I__.E f=G• __ <br /> Tns <br /> HEREBY APPLIES FOR PERMISSION TO_-- -�-El�t'LL(l 2-1 <br /> DrdLslgf� sr��-_�. <br /> AT THE FOLLOWING LOCATION 1 17 -2 J -fil 21 S; C <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged - any damage done Y�G/ J <br /> to sat,Ie 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 curb'; 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 s.:W-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 11 LIP �I <br /> ON JOBSITE. �30� <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION Tne undersigned owner hereby all baa 10 h to and save harmless <br /> inn City of Everett from any and an .lams for damages. coals, <br /> ---pensors.or Cousin of action that may Arise because of Installation <br /> and maintenance of the Improvement that right-ol-way use <br /> i hereto applied for entl further agrees t ova same upon nonce <br /> Iron the City end Io replace pub, pn rrly damaged Thereby <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> ORAINAOE TRAFf IC <br /> WATER PLANNING / 51 Or APPI <br /> STREET ADD 55 <br /> APPROVEUIWH ,UNbIKU6I.ON DATE 2ss --7-7 (7 <br /> � tFLEW�WESNNE )MEER ALt ERNAIE <br /> �] <br /> .ortPROV A C DATE DATE IF <br /> I CONSTRUCTION/AS BUILT IFE - 1978 <br />