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5 <br /> Community Services Agreement# <br /> PO Box 2098 Invoice# <br /> Everett,WA 98203 Priority# _ <br /> (425)388-4747 or(425)388-4746 <br /> EVERETT PUBLIC SCHOOLS <br /> REQUEST TO USE SCHOOL FACILITY <br /> Purpose <br /> NAME OF EVENT Mayor' s Award for Summer Reading Program <br /> NAME OF GROUP USING FACILITY Everett Pub]is Library <br /> SPONSOR(IF DIFFERENT FROM ABOVE) <br /> *BUILDING ADMINISTRATOR SIGNATURE(for School Use Only) <br /> *Signature indicates school/district sponsored event. <br /> Schedule 9-11am <br /> STARTS DAY OF WEEKThursday DATEAugust 21, 2003 **TIME 6-9pm <br /> ENDS DAY OF WEEK Thursday DATEAugust 21, 2003 **TIME6pm <br /> If weekly,list dates: <br /> **Time:list time staff is to open door;and time last user will leave building <br /> Group/Sponsor Information; <br /> ORGANIZATION - .. : • _ _ ,vent contact person Dorothy Ma t Crt; <br /> ADDRESS 2702 Hoyt Ave CITYEverett STATE WA ZIPt1R7(lt <br /> PHONE (day)25708030 (eve) 425-868-8160 e-mail addres j@ci ever Prt.wa.us <br /> Tickets Call: Tickets at door starting AM PM Tickets Priced $ to $ <br /> Curtain/Meeting start time(s): 7pm Expected attendance: #aduIt600 #youths n total 9D0 <br /> Building *Civic Auditorium Services <br /> _Cascade High School 1,552 occupant load <br /> _Everett High School xxxx y Item <br /> _Jackson High School Qty <br /> _Sequoia High School 1,496 occupant load <br /> _Eisenhower Middle with orchestra area cleared. �_ Podium <br /> _Evergreen Middle * 2 Table <br /> _Gateway Middle Person answering phone during event 2 Microphone <br /> _Heatherwood Middle Piano <br /> _North Middle <br /> _Cedar Wood Elem. Sound Shell <br /> _Emerson Elem. Band Riser <br /> _Garfield Elem. Room Chair <br /> Hawthorne Elem. Marley Floor <br /> _Jackson Elem. (Civic Auditorium only. <br /> _Jefferson Elem. Library $85.00 fee per use) <br /> _Lowell Elem. Faculty Lounge Other* <br /> Elem._Madison Classroom * <br /> _Mill Creek We will need technician <br /> Ele_Monroe Elem. Cafeteria/Commons * in morning to test equipment <br /> _Penny Creek Elem. Kitchen * and in evening for <br /> _Silver Firs Elem. (User responsible for contacting Food program <br /> Silver Lake Elem. Services(425)339-4355, for charges, <br /> _view Ridge Elem. services needed, etc. when using <br /> _Whittier Elem. kitchens.) <br /> _Woodside Elem. <br /> _Lively Enviro.Ctr <br /> Staff Use Only Custodian Use Only <br /> Facility Cleared By Custodian <br /> Book User Confirm Copy Time User In Out #Attend <br /> Principal Custodian Secretary Equipment Used <br /> Maintenance Chrono Damage <br /> ''Request to Use School Facility forms are available on the district website at:http://www.everett.k12.wa.us/pdffiles/facuseform.pdf <br />