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Date '""� �`�"-. ��Im Wo��Permit• <br /> . B10p.DeD1.Y <br /> hpplitelion for <br /> PUBLIC WORKS PERMIT P°°io�:°F eFee = <br /> Less Pppl Fas P�iA S <br /> BaienceDue S <br /> Print or Type Only <br /> Plan Check No: B 40476 SEPA <br /> Applicat.Date: OS/04/93 Pha�e . <br /> � Owner Job Addte: 2416 COLBY AVE �P <br /> Owner: EVERETT SCHOOL DISTRICT <br /> Tenant: EVERETT HS <br /> Propoeed Uee: SCNooL <br /> Deec. of Work: �p phone <br /> Applicant STRUCTURAL UPGRADE MAIN BLDG <br /> Describe Proposed Work _ OFFICE SET JOB SET <br /> APPRVD FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Prolect Addrass(it known) � � <br /> �� <br /> Attech four(4)copies of plans lor praposed work•Draw to scale and note the foltowing as applicable: � <br /> � Property Lines • Centerline of streel <br /> • Outline and dimensions of all ezisling and • Indicate Norih <br /> proposed slructures on the lot • Show eny proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PEPMIT CONDITIONS � <br /> t.All calls for inspectbn shall be made 24 hrs.fn advance•phone 259•881 O. <br /> 2,All work shall be peAormed tn eccordance with this permit end current City of Everett Design end Construction <br /> Standards end Speciticatfona � <br /> 3.Call Location Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> O <br /> PUBLIC WORKS p � <br /> NOT qEpUIREpR��7 � <br /> eY .� O <br /> a�ze s � f; a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the Cily ol Everelt Irom any and al� claims for damages, costs, <br /> expenses, or causes of action lhat may arise because ol inslallation <br /> and maintenance of the improvement or other righ4of-way use hereto <br /> applied for and further agrees to remove same upon notice lrom Ihe <br /> Approved for Conslruction ���e City and to!eplace public property damaged thereby. <br /> FINAL INSPECTION �a1e Date <br /> Approved as Constructed Signature ol Applicanl <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �A`� PUBLIC WORKS D'cPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> 3200CedarS�reet BE DILIGENTLY PURSUED TO COMPLET�ON.THIS PERMIT MAY BE <br /> Everel4�'�'A 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8010 PROJECT OVER 90 DAYS DURATION. <br />