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. ,. � <br /> � AI ,tion Fa <br /> PUBLIC W�RKS PERMIT °a1e <br /> PUBLIC WORKS DEPqqTMENT Pubiic Works Permit M <br /> 3200 Cedar Street <br /> Everett,WA 98201 259•8810 <br /> Building PermR M <br /> NPE OR PRINT ONLY Public Works Fee S <br /> Owner Mailir Plan Check No: B 58326 SEPA <br /> Appllcat.Date: 03/27/98 Phone <br /> Job Addre: 102bo 25TH AVE SE <br /> Owner: EVERETT SCHOOL DISTRICT <br /> Applicant Mailir Tenant: EISBNHOWER MIDDLE SCHOOL . <br /> Propoeed Uee: SCHOOL Phone <br /> Deec. of Work: <br /> Describe Proposed Work T.I. <br /> OFFICE SET JOB SET � <br /> APPRVD FOR PERMIT: DATE_/_/_ BY <br /> � <br /> PROJECT ADDRESS (if known) � <br /> Anach four(4)copies of plans}or proposed work-Draw to scale and note the lollowing if applicab�e: � <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O � <br /> •Centerline of street •Indicate North •Show any proposed greding changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection 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 O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V♦ <br /> .. . O <br /> a <br /> `UWUC WORKi �GRM!'� <br /> W(5T 14GG1Ud�R�G� <br /> I '�Y.�� /� , <br /> r�,T F..__`f'�3,(.J„8__.._._ . <br /> ( <br /> I ACKNOWLEDGEMENT OF CONDITIONS <br /> I The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> the City of Everett from any and all claims lor damages,costs,expenses,or <br /> IA ' Date causes of action that may arise because of installation and mainlenance ot <br /> ppovedforConstruction theimprovementorotherriyht-of•wayuseheretoappliedforandturtheragrees <br /> i to remove same upon notice from the City and to replaee public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DIUGENRY PURSUED TO <br />:OMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />