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CLEARING, _:RUBBING, GRADING, AND EXCAVAr ION PERMIT <br />Type or print clearly in ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />Public Works <br />Everett, Washington PERMIT IJO. <br />r %Rpnin.,✓2. <br />APPLICANT (Undersigned) AND FIRM REPRESENTED, IF ANY: �l '0 r— <br />HEREBY APPLIES FOR PERMISSION TO (Identify Quantities). 14- r-7 <br />FOR - N. <br />OFFICE AT THE FOLLOWING LOCATION (S) <br />USE <br />ONLY <br />DETAI LED, SCALED DRAWING OF WORK TO BE DONE, ATTACH 4 COPIES <br />ATTACH LEGAL DESCRIPTIONS <br />PERMIT IS VALID FOR 120 DAYS <br />(May be extended upon written approval from Public Works) <br />A NEW PERMIT IS REQUIRED IF WORK <br />HAS NOT BEGUN WITHIN 60 DAYS <br />TH!S PERMIT TO BE POSTED ON JOB SITE. <br />CALL FOR INSPECTION 259.8811 <br />24 HOURS BEFORE BEGINNING OPERATION <br />rrt , <br />PLANNING/SEPA APPROVAL <br />Approved for Construction (PW). <br />Issued (Bldg. Dept) Date <br />'roved as Constry e ( ) <br />N Y 7-1 ryU <br />fd. Tiyc. ,lSSG, JJLc, r_ <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages, costs, expenses, or causes of <br />action that may arise because of the clearing, <br />grubbing, grading, and/or excavation activities <br />hereto applied for and further agrees to comply <br />with all provisions of this permit. <br />nature of Anblicant/Date of -Application % <br />City <br />Telephone Number <br />Zip <br />Alternate <br />