Laserfiche WebLink
F <br /> everett <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> VType o•print clearly with Ink <br /> I PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS �� J <br /> EVERETT.WASHINGTON PERMIT NO.C�I__L_/ <br /> l / <br /> APPLICANT(UNDERSIGNED) AND FIRM REPR(ESENT-E_D,—IF ANY:_ –� - I ►J Ct <br /> HEREBY APPLIES FOR PERMISSION TO - ,00S 'R 0C T �_ RC S I nrC or r- <br /> 'Diz%, CU Ate/ <br /> AT THE FOLLOWING LOCATION Zsi� - BU t'E' <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: A'110 1M49DVEH0)75 6"M PLEV <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs Pnd 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 driveways should be utilized fuer 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 is <br /> COPY OF THIS APPLICATION TO BE POSTED -- ( I" LIP --�� <br /> ON JOBSITE. <br /> CALIL. FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and sere harmless <br /> the Cay of Everett Irom any and all claims for damages. tests, <br /> expenses,or causes of action that may arise because of installation <br /> and mamtenence of the Improvement or other light-of-Way use <br /> before eppbed for and fwther agrees to remove same upon notice <br /> DEPARTMENT APPROVALS from the City and to leplace public property damaged thereby. <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> WRIER PLANNING / Sr <br /> NA,'REOf AnPUeAN/ <br /> STREET L Ap1ORE55 { <br /> CITY zip <br /> 'APPRIOVED FOR CONST CTI I' DAT' / <br /> TELEPIg1NE NUMB[/ / ALICRNA1E <br /> - =� <br /> vE AS CO STI U EIDAIS DATE <br /> CONSTRUCTION/AS BUILT l -- 1978 <br />