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it\ 111 t.1CICII 1 414,AN.I IIIIIIIIUIIIt\ JCI YII:C <br /> 1 IN, (H'A-51.;1' .300->7() <br /> ` Form 10-114 CITY <br /> Rev. 1/2004 <br /> UNITED STATES DEPARTMENT OF THE INTERIOR <br /> National Park Service <br /> North Cascades National Park Service Complex <br /> Non-Profit- Special Use Permit <br /> 1. Permit Holder Park Alpha Code: PWR-NOCA-CUA- <br /> 5300-570 <br /> Name <br /> Mayor Ray Stephanson Type of Use: Commercial Services <br /> Organization <br /> City of Everett Parks & Community Service Date Authorization Approved: May 11,2017 <br /> Address <br /> 802 E. Mukilteo Blvd <br /> Everett, WA 98203 Reviewed: May 11,2017 <br /> Telephone Number Fax Number Expires: December 31,2018 <br /> 1-425-257-8369 1-425-257-8374 <br /> 2. The holder is hereby authorized to use the following described land or facilities in the above named <br /> area for the purpose of: Providing commercial hiking,backpacking,mountaineering, and/or paddling <br /> guide services within North Cascades National Park Service Complex. <br /> The area must be restored to its original condition at the end of the authorization. <br /> 3. The authorization begins at 12:0 l am (am/pm) on May 11,- (Month/Day/Year): <br /> ;:, 2017 <br /> 4. The authorization expires 12:00am (am/pm)on December (Month/Day/Year). <br /> at 31, 2018 <br /> 5. SUMMARY OF AUTHORIZED ACTIVITY: (see attached sheets for additional information and <br /> conditions) <br /> X Out- of- Park: The commercial services described above must originate'and terminate outside of the <br /> boundaries of the park area.This permit does not authorize the holder to advertise, solicit business, <br /> collect fees, or sell any goods or services within the boundaries of the park area. <br /> In-Park: The commercial service described above must originate and be provided solely within the <br /> boundaries of the park area. <br /> 6.Authorizing legislation or other authority: Section 418,P.L. 105-391 (16 USC 5966) <br /> 7.NEPA Compliance:CATEGORICALLY EXCLUDED X EA/FONSI EIS OTHER APPROVED PLANS <br /> 8.APPLICATION FEE: Received X Not Required Amount $100.00 <br /> 9.LIABILITY INSURANCE: Required X Not Required Amount See CUA condition#4 <br /> 10.COST RECOVERY: Required X Not Required Amount $150.00 <br /> 11.FACILITY USE FEE: Required Not Required X Amount <br />