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EVERETT <br />DEMOLITION <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />32M CEDAR STREET EVERETT, WA 98201 <br />(425)257-8810 <br />Online Inspection Request: pw.evamX .aas <br />PERMITNUMBER D2109-0 <br />LATE <br />aaooRass. 013 ROCKEFELLERAVE <br />Are- OM9161ON700 <br />(AMER ' Jae Zleb <br />Temart- <br />1783240th Ave NE <br />Lake Forest Perk WA 98155 <br />PRONE. 42528779d6 <br />Fame, <br />modsockhromPsemak <br />TMACT°R JMZ CONTRACTORS LLC <br />DamNNn au weuwm vid M13 accusal Ave <br />17832 40TH AVE NE <br />Imi <br />LAKE FOREST PARK <br />WA 981M <br />OentlNn ab aeuwm at2813 Rokieve Ava <br />42MT67305 <br />"SUEJECTTO FIELD INSPECTION. PROPERRODENT ABATEMENT <br />REWIRED PRIOR TO DEM. CALL FOR IN3PECTI0 <br />ecmPACT PRICE Of work. <br />$3,000.oD <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMIT CONDITIONS: <br />1. This permit for demoftian/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 b demolition Mthe structure. Owner to <br />tamed Utililiry Rilling to shut Otf water service antl stW billbg by sending an email to utilblll@everellwd gov. <br />3. All existing connected side beware shall That obtain a separate utility permit for a side sewer cap -off and Men be capped at the <br />Property line pros to demolition of the structure. <br />4. All Real electrical services shall first obtain an ELECTRICAL ONLINE permit, and than disconnect electrical service prior to <br />demolition of the income. <br />5. All applicable abatement (asbestos, lead paint, rodent, em) shall be completed prior he demolition per state, local, and federal <br />regulations. It is the owner/applicant a resporeibility W contact Me appropriate authority and comply with these requirements whether <br />or not described herein. <br />6. Erosion and sedimentation control measures per City standards shell be taken prior to and throughout the demolition. <br />T. No age work, clearing, grading, excavating, or earmvmM permitted except to restore builbitg Pad after demolition. Building pad area <br />shall be graveled or re vegetated. No exposed soils permMed. <br />8. No tllNtlebris to be tracked onto roadway. <br />9. Request a PW SITE FINAL inspection type online at pw.everetlwagov when the depar Mn H completed to close cut The pount <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES <br />DEMOLITION $50.00 <br />STATE SURCHARGE IRC $6.50 <br />Total Flats $56.50 <br />Total Flats Paid $0.00 <br />Total Flats Due $56.50 <br />RFMI <br />By purchasing this Permit and commencing work, the <br />nerlapplicant hereby agrees to the above listed Permit <br />conditions and agrees M hold and save harmless the City <br />of Everett Mm any and all claims for damages, casts, <br />expenses, or causes of action that may arise bemuse of <br />the construction hereto applied for and further agrees W <br />remove same upon notim tram the Cry. <br />City of Everett Local <br />Sales Tax Code is 3105. <br />PERMR NO. <br />D2109.004 <br />