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t= <br />EVERETT <br />WASHINGTON <br />0 <br />DEMOLITION <br />PERMIT <br />C*l( OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Inspection Request: pw.everettwa.gov <br />PERMIT NUMBER: D2105-005 <br />DATE <br />JOB ADDRESS: 8002 E MUKILTEO BLVD BLDG 102 <br />APN: 29053100200100 <br />OWNER: CITY OF EVERETT <br />TENANT: FOREST PARK / PARKS & FACILITIES DEPT <br />3200 CEDAR ST <br />EVERETT WA 98201 <br />PHONE: <br />PHONE: <br />DESCRIPTION OF WORK: <br />DEMOLITION OF MOLDULAR BLDG #102 AT FOREST PARK <br />CONTRACTOR: FORMA CONSTRUCTION COMPANY <br />10161 STAVE #400 <br />NOTES <br />SEATTLE WA 98134 <br />2066260256 <br />CONTRACT PRICE OF WORK: $22,442.00 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMIT CONDITIONS: <br />1. This permit for demolition/removal of building structure only and is subject to field inspection. <br />2. All existing connected water services shall be capped at the back side of the meter prior to demolition of the structure. Owner to <br />contact Utilility Billing to shut off water service and stop billing by sending an email to utilbill@everettwa.gov. <br />3. All existing connected side sewers shall first obtain a separate utility permit for a side sewer cap -off and then be capped at the <br />property line prior to demolition of the structure. <br />4. All existing electrical services shall first obtain an ELECTRICAL ONLINE permit, and then disconnect electrical service prior to <br />demolition of the structure. <br />5. All applicable abatement (asbestos, lead paint, rodent, etc.) shall be completed prior to demolitions per state, local, and federal <br />regulations. It is the owner/applicant's responsibility to contact the appropriate authority and comply with these requirements whether <br />or not described herein. <br />6. Erosion and sedimentation control measures per City standards shall be taken prior to and throughout the demolition. <br />7. No site work, clearing, grading, excavating, or earthwork permitted except to restore building pad after demolition. Building pad area <br />shall be graveled or re -vegetated. No exposed soils permitted. <br />8. No dirt/debris to be tracked onto roadway. <br />9. Request a PW SITE FINAL inspection type online at pw.everettwa.gov when the demolition is completed to close out this permit. <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES <br />DEMOLITION <br />STATE SURCHARGE IBC/IEBC <br />$50.00 <br />$25.00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the <br />owner/applicant hereby agrees to the above listed permit <br />conditions and agrees to hold and save harmless the City <br />m any and all claims for damages, costs, <br />e c s c 'on that may arise because of <br />e cons i r li d for and further agrees to <br />emove same u on r the Ci <br />pity of Everett Local <br />les Tax Code is3105. <br />_APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _REV _ASSESSOR <br />