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_ . _ _ i <br /> I! CLEARING, GRUBBING, GRADING, AND EXCAVATION PERMIT e�,E�l �'tt I <br /> 7ype or print clearly in ink , <br /> PRESS HARD-YOU ARE MAKING COPIES � <br /> , <br /> � <br /> f � <br /> Public Works PERMIT N0. �'�� � — I <br /> Everett, Washington ; <br /> i I <br /> � APPLICANT (Undersigned) AND FIRM REPRESENTED, IF ANY:...�c�� L"u � �� G � <br /> I <br /> � F�tl rl � ' ) 1l il�� t�"���— <br /> I <br /> HEREBY APPLIES FOR PERMISSION TO Udentify nuantities) �� � ��� �� A �' �1 � ������� - <br /> �i:; � <br /> j FOR [" �`( 1 A;' 11,�' � <br /> �%�� - — i <br /> OFFICE ATTHE FOLLOWING LOCATION (S) I <br /> USE , <br /> ONIY . <br /> DET�JLED,SCALED DRAWING OF WORK TO BE DONE, ATTACH 4 COPIES II <br /> ATTACH LEGAL DESCRIPTIONS <br /> PERMIT IS VALID FOR 120 DAYS I <br /> �; (May be extended upon written approv�l from Public Works) <br /> ` A NEW PERMIT IS REnUIRED IF WORK <br /> HAS NOT BEGUN WITHIN 60 DAYS <br /> �I <br /> I <br /> THIS PERMIT TO BE POSTED ON JOB SITE. �i <br /> � <br /> i � <br /> � CALL FOR INSPECTION 259•6811 'i <br /> �� 24 HOURS BEFORE BEGINNING OPERATION <br /> i <br /> I <br /> � <br /> i <br /> i <br /> . The undei:igned owner herehy agrees to hold and <br /> � save harmle:s the City of Everett frum any and all i <br /> � claims for damages,costs,expe�ses,or causes of ; <br /> � action that may arise because of the clearing; I <br /> . grubbing,grading,and/or excavation activities �I <br /> herem appiied for and further agrees to complY I <br /> � with all provisions of this permit. i <br /> PLANNINGISEPA APPROVAL <br /> � — <br /> T y � �O Lst IT I <br /> � ' �-- Signattire of Applicant(Date Application <br /> 1� �j , � 0 . � ' `i � � <br /> I <br /> � Aadress � <br /> r I '' ' ,1- `� � ' zp�' �VJ I <br /> , . - �. cicv �� <br /> Approved for Construction (PWf <br /> � . _ _��,:�C��� 'l.. <br /> � Alternatc <br /> I Date Telephone Number �, <br /> � Issued (Bldg. Dept) �I <br /> FEE <br /> . ' Approvc�l as Cn.�structed (PW) <br />