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� <br />! <br /> II <br />/ <br />/ <br /> I <br />� <br /> I .....,.,,�' _ <br />�I � , � '�.�. <br /> I�� ._._... <br />� / CLEARING, GRUBBING, CRADING, AND EXCAVATION PERMIT ` ` ( '<`, I <br /> IType or print cleerly in ink <br /> PRESS HARD ��'OU ARE MAKING COPIES <br /> a <br /> 5� <br /> PublicWorks PEFiMITNO. ��'' '�— '��= �r <br /> Everett,Washington <br /> APPLICl1NT (Undersigned) AND FIRM REPRESENTED, IF ANY:.�fl�-�-'6ID�IL <br /> NEREBV APPLIES FOR P£RMISSION TO Udentify Quanuties) ".�,�le'�)—lr � <br /> , ' <br /> FOR <br /> OFFICE AT THE FOLLOWING LOCATION (SI <br /> USE <br />� ONIV <br /> DETAILED,SCALED DRAWING OF WORK TO B[ DONE, n1TACN 4 COPI[5 <br />� ATTACH LEGAL DESCRIPTIONS — <br /> 1 <br /> P! :,'.'.116 . ..i � �. ��. i � . <br /> � <br />� II1�: ln.��rl��rrl.•il uP'�n _ . , • . .. , � . . . ' ' I <br /> I <br /> ���,. ..� . . . � � � I'� '. . � �I <br /> 11. . . . . . . '.'i i <br /> � <br />( Iln�. l"�, � "II '. � . . . � '� .i'. '.tl! SIIE. <br /> CALL FOR Itd;PEC-I Ii�N ?6'J N:+11 <br /> ?.1 HC�IIR� P[FQRF RC<ll�:'dINC Clf'CR�'fi�": <br />�I _._ ____—' <br /> The undersigned owner hercby qees to IwM and <br /> i save harmleu the City ol Everatt fi.im�rry�nd d� <br /> claims for damaqes,crnts,expmfaf.or nuses a1 <br />'I ection that may arisr. bec�use ot ttx ckxing, <br /> grubbirg,gradiry,and/or exavstioo�cthities <br /> heret�applied !or end IurtAer Nn�s tu eom0�� <br /> PLANNING/SEPA APPROVAL with all p�rnisions ol this permit. <br /> I -� �� . <br /> I __ � �i7 , r. .;..11� �, , ,. , � �� � � � � <br /> Si9natura of ApPlicanl/Date ol Appliut�on <br /> 1G1� ChPstnut <br /> AdA�oc� <br /> i c ,- . <br /> Everett. Wa, 98201 <br />� Approved'tor Constructwn 1�) --- City <br /> ZiD <br /> z58-io39 <br />� Isttwd fBldg. Deptl Date <br /> Telephone Kumber Alternate <br /> I � <br />