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� <br /> � APPLICATION FOR TEMPORARY CERTIFICATE OF OCCUPANCY AND CLEARANCE <br /> FOR <br /> CONNECTION OF UTILITIES �� / � , <br /> DATE � `'- �' <br /> To: Department of Community Development <br /> Inspection Division <br /> City of Everett <br /> Evere.tt, I9ashington <br /> Gentlemen: <br /> It is hereby respectfully requested that pursuant to Section 306 (d) <br /> of the Uniform Buildin5 Code of the City of Everett, a temporary <br /> CertificaLe of Occupancy and clearance for connection of gas and/or <br /> electrical utilities be granted at this time which is prior to the <br /> issuance of a Certificate of Occupancy and before final inspection <br /> for the building or buildings under construction at the following <br /> address or addresses: <br /> /� �� ��.��� �..�.� <br /> ���-c�..�-�� ��4� /r� lj'��,���''J � <br /> In consideration of the granting of the above ciearance, and temporary <br /> Certificate of Occupancy, the undersigned hereby wai�es any cause of <br /> action against either the City of Everett or any of its officers and <br /> employees because of any defect in the construction or installation <br /> of gas or electrical equipment, or for any ocher defect in construction <br /> of the above mentioned building or buildings, or for any connection <br /> to or disconnection from any utilities which may cause damage whatso- <br /> ever to the premises , any other premises, or any person, persons, and <br /> the undersigned further agree to hold the City of Everett, or any of <br /> its officers and employees harmless from any liability caused by such <br /> temoorary clearance or temporary Certificate of Occupancy. <br /> The undersigned further covenant and agree to have the above building <br /> or buildings, toqether with required off street parking areas and <br /> landscaping, completa and in comoliance with a11 building codes , ornin- <br /> ances, and regulat_.ons and read•� for final inspection within 30 days <br /> after the granting of the temporary clearance requested herein, and <br /> further covenant that if a Certificate of Fi.nal Occupancy is not <br /> granted within 30 days af��er the granting of the temporary clearance <br /> and temporary Certificate of Occupancy requested herein, the undersigned <br /> shall forthwith vacate the buildings, and premises and disconnect the <br /> utilities for waich a temporary clearance was granted and likewise <br /> waive any action they may have against the City of Evqrett, or its <br /> . officials and employees and hold them ha ss from �fiy 1 ' ility <br /> which may arise therefrom. <br /> Respectfully submitted by: • , � � .� <br /> Owne� � " <br /> ��_�. �� �'L� <br /> G eral Contractor <br /> Sub-Contractor <br /> _. _. _ � <br />