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EVERETT <br />DEMOLITION <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />32M CEDAR STREET EVERETT, WA 98201 <br />142M257-8810 <br />Online Inspection Request: pw.svemM .gas <br />FERIATNUMBEIR <br />D2205-005 <br />LATE <br />aaoorsss. <br />9702191H IWE SE <br />aN- 28051800403000 <br />(AMER <br />PRH-DRH, LLC <br />Depend- <br />17921 Bothell Everett Hwy she 100 <br />Bothell WA OW12 <br />Puoue <br />4254380444 <br />Peme <br />isecil SYCRane oxkRR. <br />Dom 43728 <br />macTSR OMNI CONTRACTING SOLUTIONS LLC <br />BROADWAY SIDE 108 <br />imi <br />EVERETT WA 90201 <br />WA <br />4252122210 <br />baRmA« probe OF WORK $158,230.00 <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 M the back side of the meter prior to demoli60o Mthe structure. Owner to <br />tanned Utililiry Rilling to shut Ottwater service antl step billbg by sending an email W utilblll@everellwd gov. <br />3. All existing connected side sewers shall first obtain a separate utility permit for a side sewer cap -off and Men be capped at the <br />Property line prior to embedded of the structure. <br />4. All Reading electrical services shall first obtain an ELECTRICAL ONLINE permit, and than disconnect electrical service prior to <br />demolition of the structure. <br />5. All applicable abatement (asbestos, lead pi rWent, etc.) shall be completed prior W demolitions per state, local, and federal <br />regulations. It is the owner/applicants resporkibility W canted 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 building pad after demolition. Building pad area <br />shall be gaveled or re vegetated. No exposed soils permMed. <br />8. No tliNtlebris to be tacked onto roadway. <br />9. Request a PW SITE FINAL inspection type online at pw.everetlwagov when the demolition H completed to close cut this pai <br />PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br />FEES <br />DEMOLITION <br />$50.00 <br />STATE SURCHARGE IBCNEBC <br />$25.00 <br />Total Fluor <br />$10.00 <br />Total Fluor paid <br />$0.00 <br />Total Fluor Due <br />$15.00 <br />REMARKS <br />By purchasing this Permit and commencing work, the <br />nedapplicant hereby agrees to the above listed Permit <br />wMlnons and agrees to hold and save harmless the ciy <br />of Evxaft 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 tor <br />remove same upon notice from the ciy. <br />City of Everett Local <br />Sales Tax Code is 3105. <br />PERMIT NO. <br />D2205.005 <br />