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everen <br /> L APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. <br /> --T <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: / hO t"os <br /> HEREBY APPLIES FOR PERMISSION TO OH_S o7 el S _ CIJH C. W. Et/e w<y1r <br /> l <br /> AT THE FOLLOWING LOCATION04v //9 — 79 T'r PL SE V�.P rr k�il. 987D3 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> to salve 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 /> 3. All concrete removals must be saw-cut or taken out to nearest expan ton <br /> joint. <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � <br /> COPY OF THIS APPLICATION TO BE POSTED I + I LIP <br /> ONE. 30" Tc 30" <br /> CALLLL FOR INSPECTION 259-981 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and anus harmleM <br /> the City of Everett from any and all claims for damages. costs. <br /> evponses.or causes of action that may arum because of installation <br /> and maintenance of the Improvement or other fight-ol-way use <br /> hemlo applied for and further agrees to remove same upon nuhce <br /> DEPARTMENT APPROVALS Irom re <br /> the City and to place public propetty damaged Thereby <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> WATER PLANNING SI TORE O LI � Z4 <br /> f!G iV S3 "P/oz. f-r/ <br /> STREET ADDRESS <br /> /71 4-A 9Q1TtiR.� <br /> 5 � 1-2, !, _ CITY IIP <br /> APPROVED 5PR Ru I 31-2, <br /> n fo 5/.13 5'91s,i7.? J <br /> TELEPHONE NUM ALTERNATE <br /> ALTERNATE <br /> A/ter, ( ! '^ ll —O .•'i '��.//r//U <br /> s' PROVE CONSTRUCTEDDATE GA /! 6 _ – <br /> CONSIHUCTIO;J/AS BUILT FEE 1978 <br />