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i � <br /> :'¢alian Fcr <br /> iP41BLIC VvORKS PERMIT Date 4�ZZ�98 _ r, <br /> ���� ���� <br /> PUBLIC WORKS DEPARlMENT Public Works P�- iit q 5$610 �'°' <br /> 3200 Cedar Street �� <br /> Everetl,WA 98201 259-8870 � <br /> Building Permit tt __ _ <br /> TYPE OR PRINT ONLY Public Works Fee$ __ Y4 <br /> µ� <br /> M1W <br /> MUKILTEO SCHOOL DISTRICT 9401 SHARON DR EVEF.GTT 98204 �w <br /> Owner Mailing Address Gty Zip Phone �'� <br /> k�' <br /> � <br /> CHALLENGER ELEMENTARY CONTACT: DON GROSS 356-1216 ��,c <br /> Appticant Mailing Atldress City Zip Phone = y,•.�, <br /> ta <br /> Describe Proposed Work_ P�+CE PORTABLF. CLASSRCUhf � I' i <br /> � 1 , <br /> � �_: <br /> � +� <br /> PROJECT ADDRESS(if known) 9600 HOLLY DR �; <br /> Attach four(4)copies of plans for pmposed work-Drew to scale and note the followin�if applicable: � <br /> •Pmperiy Lines •Outline and dimensions of atl existing and proposed structures on the lot •Existing and proposed utilities � <br /> � •CeMerline of street •Indicate North •Show any proposed grading changes •Show measurements � .q;,,. <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONDITION�: � �? <br /> 1. All calls for inspec�ion shall be made 24 hours in advance- phone 259-8810. <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and � �� <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Seivice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V� <br /> � ,, <br /> "JSIIC I;ON�Ya N�I�i�,911 i�b <br /> R�Y�D:o ' CUUIRL;J� , <br /> i _ _ �,: <br /> i�r�_ 5 �B ~ <br /> s ��`"- <br /> iM�;: <br /> y <br /> r'� <br /> �� <br /> �. <br /> �`,'� <br /> r <br /> ,��'"� '°�� <br /> ;�< ,.�. <br /> �'Y' ACKNOWLEDGEMENT OF CONDITIONS ' �" <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless �i <br /> the City of Everett from any and all claims for damages,costs,expenses,or � <br /> causes of action that may arise because of installation antl maintenance of �ti <br /> ApprovedlorConsiruction Date theimprovementorothernght-obwayuseheretoappliedforandturtheregreec ���' <br /> to remove same upon notice from lhe City and to replace pub!ic property �" <br /> damaged ihereby. '/� <br /> FINAL INSPECTION Date <br /> Approved as Constructed �E�c <br /> Signature of Applicant Date "" <br /> F.. <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAqTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 8[DILIGENTLY Pl1RSUE0 TO �"" <br /> CO:",P!ETION_THIS Pf-R'.'IT�AAY BE CPNCELLED 6Y THE CIiY UPON�NV 9TOPP:IGE OF 4"JORI<ON TI US;PR^JECT OVEF PO�AYS UUR4TI0`! �.;e <br />-'. .. . ._ .. .. .. ... .. ' . _ . _ __ __. .. .._.. <br /> _ � ',..:.... . � ::�, <br />_'—_ ' :�.. . . ,.. . ;YYJ;�Fi,w';:.,� .. .;Aa.'�3'�!�r+n . . �.w, <br />