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evcrctt <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly will in. <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. 338 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY r i"k'. (,d q r e�. a, r 7~ e <br />HEREBY APPLIES FOR PERMISSION TO xis% n/v✓r✓�� L AvSrv.S ?� ry�wA� C�7 <br />de <br />AT THE F OLLOWING LOCATION 8�'• �7" ' Sr ool Ca- C �uT� n61:1Mr4lA !/fU j <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />nT/ er /.ed <br />CONDITIONS <br />1. Existing sidegalks, curbs and putters 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 inttailed the existing curbs and gutters <br />must be totally removed and replaced at new driveway <br />location. KNOCKING OFF OF CURB IS NOT ALLOWED. <br />3. All concrete removals must be saw -cut or taken o1Et to nearest <br />expansion joint. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />C_ I <br />EPARTMENT APPROVALS <br />ON6f <br />SEWER <br />..... <br />DRAINAGE - Y ' �� y <br />WATER .}QUO ili Nt:y I rr;� <br />�Ir!rl Iq <br />STREET <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />12az/-L' -- <br />APPRbV ON t DAZE <br />,.�APFHUVtU Ab C NS, RUCTED DATE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />I" LIP <br />The undersigned owner hereby agrees to hold end at" hs-mless <br />the City of Everell from any and all claims for damages. Lofts. <br />expenses. or causes of action that may arise because of IMtallsoon <br />and maintenance of the Improvement or other hghl-of-way Lee <br />hereto applied for end further agrees to remove same upon nopec <br />from the City and to replace public property damaged thereby <br />91GNA URE Of APPIICANI <br />ADDRESS <br />ar ZIP <br />7700 — <br />TELEPHONENUMBER h A IERNAIE <br />