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;_ <br />i <br />rvrrrn <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. 'J38 <br />EVERETT, WASHINGTON <br />jam! <br />(C.,APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />G > (�d4/r►q Ct....> <br />HEREBY APPLIES FOR PERMISSION TO <br />Cr.o$Ta 7 /�/'r✓fw•'7( — LArti,.5 r7�rr✓lw�y C✓% <br />WIr <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />S I, e 471,"c�•� <br />CONDITIONS <br />1. Existing sideqalks, curbs and flutters are undamaged. Any <br />damage done to same during construction will be repaired or removed <br />and replaced to the Public Works inspector's satisfaction. <br />2. Existing driveways should be utilized for new homes. If new <br />driveways have to be inttalled the existing curbs and gutters <br />must be totally removed new <br />location. KNOCKING dreplaced <br />KING OFF OFCURB ISNOTtdriveway <br />ALLOWED. <br />3. All concrete removals must be saw -cut or taken Ott to nearest <br />expansion Joint. <br />E)71VEWAY SECTION <br />PERMIT IS VALID FOR 60 DAYS 1�---- --'I <br />COPY OF THIS APPLICATION TO BE POSTED I I LIP +30" <br />ON JOBSITE. 30r <br />CALL FOR INSPECTION 259-88 7 1 <br />24 HOURS BEFORE CONSTRUCTION T <br />hee undty ersEedreowner here enEreseclolholdoar ntle&" ar lless <br />expensesor causes of action that may ar0e because of installation <br />end maintenance of the Improvement or other nghl phwey use <br />hereto applied for and further agrees to remove same upon notice <br />Irom the City and to replace public property damaged thereby. <br />;DEPARTMENT APPROVALS <br />:J <br />OAry r, <br />SEWER ,- <br />' - C COMMUNICATIONS � C <br />TT - TRAFFIC <br />----motn. i v j �n <br />DRAINAGE " V I il) }qyQ cY1rTrY JII(}ffi PLANNING SIGNATURE GF AvrIICANT <br />WATER <br />ADDRESS <br />STREET /_ r, 1; l,, -T7 <br />re CITY ; <br />DATE J AITtnNA1E <br />APF"UVtEUR C NS 1 TEEEPNONE NUMBER <br />y A C NS <br />DATE DATE <br />CONSTRUCTION/AS BUILT FEE 1978 <br />