7621 BEVERLY LN 2018-01-02 MF Import

Dale Application rot PUBLIC WORKS PERMIT Print or Type Only Applicant Describe Pro -osed Work Project Address (II known) Plan Check No: B 3982: SEPA Applicat.Date: 03/09/9.9 JGo Addra: 762 B VERLY LANE Owner: EVERETT SCHOOL DISTRICT Tenant: EVERGREEN MIDDLE SCHOOL Proposed Uee: CLASSROOM Deae. of Work: TWO PORTALBES OFFICE SET _JOB SET APPRVD FOR PERMIT: DATE_/_/__ By t.bi C -I.. P. . . ewp D.M s -- ..... a_ l.a. its,... Pua a e.WnD.. a- - W Attach four(4) copies of plans for proposed Work • Draw to scale and Moto the following as applicable: • Property Linea • Centerline of street • Outline and dimensions of all arising and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hra In advance• phone 259.8810. 2. All work shall be performed In eocordance with this permit and current City of Everett Design and Construction Slancerds and SPecifiCW10mL 3. Call Location Undo -ground Service 48 hn. before you dig. TOLL FREE NUMBER 1-800-424.5555. ;'UBLIC WORKS PERMIT NOT RECURRED uv DATE ' o -zz_ bproved for Construction Date :INAL INSPECTION Dale 1pproved as Constructed PUBLIC WORKJ DEPARTMENT 3200 Cedar Street Everett WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and Save harm. less the City of Everett from any and all claims for damages. coats, expenses, or causes of action that may arise because of Installation and maintenance of the Improvement or other right-ohway use hereto applied for and further agrees to remove same upon notice from the City and !o replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DATS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TC COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAPS DURATION.