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Date 9-1-93 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Cnly <br />✓ <br />PUEIIc Wo�Fe Permit � �,G.1.� ��i <br />BI�B. Depl. � / <br />Pu�lic Worke Fee s <br />Total Fee <br />Leaa AOP�� Fee PaiE s -y <br />.S,J OJ <br />galente Oua 5 ' <br />OD2 -.��2�0/793/ <br />EV�nETT SCHOOL DISTRICT 2 4730 COLBY AVE EVERETT 98203 339-4200 <br />Owner Mailing Address Cdy Zip Phone <br />DYKEMAN ARCHITECTS 259-3161 <br />Applicanl Meiling Address City Zip Phone <br />Describe Proposed work N�' �MP AT ENTRY 6 PARKING REVISIONS FOR HANDICAPPED <br />Proiect Address (if known) <br />Attach tour (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All cells for inspection shell be made 24 hrs. in advence • phone 259-8810. <br />2. All work shall be peAormed in eccordence with this permit and current City ol Everett Design end Conatructian <br />Stendarda end Specificetions. <br />3. Cell Lxation Underground Service 48 hrs. before you dig. TOLL FHEE NUMBER 1-800•4245555. <br />� f� ��e�.- a,�.,� �.�% .�v 9� ��� <br />z<�'' ����c: � '�5���� 1���= <br />�s ���, �� �voz�.y <br />C�-p/ f/ r Ga{«�� / <br />✓ <br />qpproved as Constructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 CedarStreet <br />Everett. WA 9B201 <br />Phone:259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />less the City ol Everett irom any and alt claims for damages, costs, <br />eKpenses. or causes of action that may erise because of installation <br />and maintenance of the improvement or other right•of-way use hereto <br />applied for and further agrees to remove same upon nolice from the <br />City and to replace public property damaged thereby. <br />�� <br />� Q�.�,, �`-� , s�,,Q <br />Signatu ot Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DIL'GENTIV PURSUED TO COMPLETION. THIS PERMIT NAY BE <br />CANCELLED BY TFiF CITY UPON ANY STOPPAGE OF WORK ON TI11S <br />PROJECT OVER 90 DAYS DURATION. <br />I <br />