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everen <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> VType or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS Q <br /> EVERETT.WASHINGTON I I /� PERMIT NO. v <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED.IF ANY:�1 A,13. 1� �--"� A NC <br /> _II / <br /> HEREBY APPLIES FOR PERMISSION TO_. C 01�STR.ULT A RCS\ OC IJP 4 -m fivELU Ay <br /> I- OA ti <br /> AT THE FOLLOWING LOCATION 2Sri9 -8U iY. .S-E, ��ereh; G/4 P6.?e 3 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: Soy��� _ �t1PdGdCN�ftJTS �otfPcET�D <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undar•laged - 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, 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 15 NOT <br /> ALLOWED. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. L <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everelt from any and all claims for damages, costs, <br /> expensesor causes of action met may stiff,because of Installation <br /> and mamteoence of the Improvemem or other right of-way use <br /> Hereto applied for and further agrees to remove same upon notice <br /> DEPARTMENT APPROVALS <br /> Irnm the City and to replace public property damaged thereby. <br /> a <br /> SEWLR COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> WATER PLANNING SIGNATURE GFA LICANI <br /> siREET / , ADDRESS <br />