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DEMOLITION CITY OF EVERETT <br />EVERETT PERMIT SERVICES <br />cH�ry PERMIT 3200 CEDAR STREET EVERETT, WA 98MI <br />(425) 257 8810 <br />Online Inspection Remood us, evereffwe my <br />PERMITNOMBER: D2012-008 <br />DAT& <br />JOBA00RESa 618 MADISON SIT <br />AN 00393300001601 <br />OWNER: CITY OF EVERETT <br />TENNNT: CITY OF EVERETT-CI-ARK RESIDENCE <br />2930 WETMORE AVE <br />EVERETT WA 98201 <br />PHONE'. <br />PHONE', <br />DESCRIPTION OF WORK' <br />DEMOAND DISPOSE OF 480 50 FT RESIDENCE <br />CONTRACTOR OWNER <br />NOTE& <br />"ALLACCESSORY STRUCTURES MUSTALSO BE REMOVED FROM <br />THESITE" <br />OWNER WILL NEED TO CONTACT UTILITY BILLING FOR SHUT OFF <br />CONTRACT PRICE OF WORK', $31,842.16 <br />OF WATERSERVICE, <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMIT CONDITIONS- <br />1. This permit for demolillonfremoval 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 UU1111ty Bluing to shut OH water arnica and stop bluing by sanding an email to utilbill@everethva.gov. <br />3. All existing Connected side sewers shall first obtain a separate utility permit for a side sewer caPoff and then be capped st the <br />property line prior to demolition of the structure. <br />4. All existing electrical services shall Bret obtain an ELECTRICAL ONLINE permit, and then disconnect electrical Service prior to <br />demolition of the Structure. <br />6. All applicable abatement (asbestos, lead point, rodent, etc.) shall be completed prior to demoilllons 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 shay be taken prior to and throughout the demolition. <br />Z No site work, clearing, grading, excavating, or earthwork permitted except to restore building pad after demollllon. Building pad area <br />shall be graveled or re�vegsuded. No exposed soils permitted.. <br />B. No dlrVdebris to be tracked onto roadway. <br />9. Request a PW SITE FINAL Inspection type online at pw.everattwa.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 />ACKNOWLEDGEMENT OF CONDITIONS <br />DEMOLITION <br />$60.00 <br />By purchasing this permit and commencing work, Me <br />STATE SURCHARGE IRO <br />$G.50 <br />ownertappllcant hereby agrees to the above listed permit <br />conditions and agrees to hold and save harmless the City <br />of Everett from any and all claims for damages, carte, <br />expenses, or causes of action that may arise because of <br />the construction hereto applied for and further agrees to <br />Total Fees <br />Sol <br />remove same upon notice from the City. <br />Total Fees Paid <br />$O.OD <br />City of Everett Local <br />Total Fees Due <br />$$6.60 <br />Sales Tax Code Is 3106. <br />-' _- -- I 'a PERMIT NO. <br />11 1D2012-008 <br />NCV 0 12021 11 <br />y TREAsuRER cops <br />LJ <br />CITY or EVERETT <br />Pern'lit Services <br />