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MIME • <br /> Glit-Y OF EVERETT <br /> DEMOLITION PERMIT SERVICES <br /> EVERETT <br /> W A S H I N G T O N PERMIT 3200 CEDAR STREET EVERETT,WA 98201 <br /> (425)257-8810 <br /> Online Inspection Request: pw.everettwa.gov <br /> PERMIT NUMBER: D2104-005 DATE <br /> JOB ADDRESS: 2216 BROADWAY APN: 00439147502500 <br /> OWNER: Shelley Albers TENANT: <br /> 3601 6th Ave S <br /> Seattle WA 98134 <br /> PHONE: 2064944224 PHONE: <br /> DESCRIPTION OF WORK: CONTRACTOR: <br /> Demolition of a freestanding commercial billboard LAMAR COMPANY LLC, THE <br /> PO BOX 66338 <br /> NOTES: BATON ROUGE LA 70896 <br /> Removal of billboard.Cut polesl ft below grade,fill,cover and haul debris 2259261000 <br /> CONTRACT PRICE OF WORK: $500.00 <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 property line <br /> 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 ACKNOWLEDGEMENT OF CONDITIONS <br /> DEMOLITION $50.00 By purchasing this permit and commencing work,the <br /> STATE SURCHARGE IRC owner/applicant hereby agrees to the above listed permit <br /> $6.50 conditions and agrees to hold and save harmless the City <br /> of Everett from any and all claims for damages, costs, <br /> expenses,or causes of action that may arise because of <br /> the construction hereto applied for and further agrees to <br /> Total Fees remove same upon notice from the City. <br /> $56.50 <br /> Total Fees Paid ;.. 7 i <br /> City of Everett Local <br /> Total Fees Due =:ry• $56.50 *' Sales Tax Code is3105. <br /> REMARKS: s'° =.I;K; 90 <br /> Cifl w" J IN Ed PERMIT NO. <br /> 10 v D2104-005 <br /> j`:00 71' ';j: 3 ' • ADDRESS FILE COPY <br />