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i <br /> i <br /> everctt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type 01 print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS e <br /> EVERETT.WASHINGTON PEFIMIT NO.&VT�— <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENT ED,IF ANY:_ - — <br /> HEREBY APPLIES FOR PERMISSION TO____ - - <br /> AT THE FOL-OWING LOCATION C00 r� ,��:r„�-c_ ✓6"�E7T �/A. 98'20' <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS l.TI ACHED: <br /> I <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged - any damage done <br /> to same during construction will be repaired or, removed and r^placed to <br /> the P.W. Inspectors satisfaction. <br /> 2. Existing drive ways should be utilized for new homes, if new driveways have I <br /> to be installed - the existing curbs and gutters must be totally removed <br /> and replaced at new drivewa,, 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 /> _ I I <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE 30" 1 130" <br /> CALL FOR INSPECTION 25C)-881 f 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages. roots. <br /> expenses.or causes of action that may mise because of Installation <br /> and maintenance of the Improvement or other righbof.way use <br /> hereto applied lot and lurcher agrees to remove same upon notice <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER I .:OMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> ==Ja <br /> WATER PLANNING SIG TUBE OE APP;.A VT <br /> 4 5 7T" N&,) <br /> STREET ADDRESS <br /> 9 /Po <br /> �� /E <br /> • ��/ <br /> pIT <br /> aT r9 Ru I — \ Dom- 6S9Ul -f307' 7 <br /> TELEQPNONE NUMBER ALTERNATE <br /> 7 SUCH/ ,`J <br /> AppHTpr CONSIRLICTED DATE DATE <br /> CONSTRUCTION/AS BUILT EE 1978 <br />