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MIME <br /> C'0'Y OF EVERETT <br /> DEMOLITION PERMIT SERVICES <br /> EVERETT 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: D201 0-0O1 DATE <br /> JOB ADDRESS: 1922 112TH ST SW APN: 00537900004402 t <br /> APPROVAL <br /> NO FINAL <br /> OWNER: KELTING KELVIN &MING TENANT: <br /> 1922 112TH ST SW JAN 2 6 2022 <br /> EVERETT WA 98203 <br /> PHONE: 4253613424 PHONE: • <br /> ARCHIVED v, <br /> DESCRIPTION OF WORK: CONTRACTOR: OWNER <br /> REMOVE EXISTING MOBILE HOME <br /> NOTES: <br /> CONTRACT PRICE OF WORK: $1,500.00 <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. <br /> 2.All existing connected water services shall be capped at the back side of the meter prior to demolition of the structure. <br /> 3.All existing connected side sewers shall first obtain a separate SEWER UTILITY ONLINE permit for side sewer cap-off, and be <br /> capped at the 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 ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the <br /> DEMOLITION $50.00 owner/applicant hereby agrees to the above listed permit <br /> conditions and agrees to hold and save harmless the City <br /> STATE SURCHARGE IRC $6.50 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 /> remove same upon notice from the City. <br /> Total Fees $56.50 <br /> Total Fees Paid $0.00 City of Everett Local <br /> Total Fees Due $56.50 Sales Tax Code is3105. <br /> REMARKS: <br /> PERMIT NO. <br /> 2020 D2010-001 <br /> ADDRESS FILE COPY <br /> UI Y-OFRVEDp <br /> Pel►nI¢Service5 T <br />