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i <br /> cy a <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO.EVERETT.WASHINGTON ? <br /> Tho a s T --- <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> CONS ���7� 9 .2 CoFdG. plyf vim✓� — <br /> Run? <br /> >T THE FOLLOWING LOCATION <br /> 121 - <br /> DRAWING (WORK TL BE DONE) OR THREE PLANS ATTACHED: <br /> CONDITIONS <br /> 1. C•xisting 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 drivew;tys 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 expansion <br /> joint. <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED r LIP X30" <br /> ON •JOBSITE. pox3 ._-_ <br /> CALL FOR INSPECTION 259-887 7 <br /> 24 HO IRS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and Save harmless <br /> the osts <br /> Cit <br /> ses,or causes lot action thea may errom any and all nbuse ocaof ms for G <br /> expene installation <br /> and eto applied for and further ro <br /> agrees to remnversome l a <br /> upon <br /> if use <br /> enotie <br /> bnm the City and to replaoe public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> I - COMMUNIOATION5 <br /> 51 WL❑ <br /> TRAFFIC 7 <br /> DRAINAGE -- <br /> 51 1URE cay i LICA /J <br /> PLANNING QL - �•� Yd <br /> WATER r L <br /> AGDRES. �" � � <br /> STREET 4{/G, _ <br /> ag <br /> Vf C 21P <br /> q �— CITY <br /> ,E <br /> APPF OVEO Y R RUC ION A tERNAtE <br /> 1ELEPIIONC UMfl R <br /> ROVED AS CONSTRUCTED <br /> DATE DAT <br /> 1978 <br /> CONSTRUCTION/AS BUILT FEE <br />