10524 13TH AVE W 2024-12-02 - Laserfiche WebLink

WAS14INGTON CITY OF EVERETT E V E R E T elf' Permit Services WASHINGTON CASH ASSURANCE DEVICE Section I- To be completed by the Owner and signed by the PW Reviewer Instructions:Complete Section I and the Assurance Device License.Attach a copy of estimate of improvements and deliver all documents to the City Clerk's Office. Construction Site Address: 10524 13A AVE W Project#:PW 1807-010 Name of Depositor: Lakhiit Grewal Address:3633 102ND PL SE EVERETT,WA 98208 Phone: (425)750-5539 Email: lakhjitgrewala gmail.com Check one: ❑Performance(installation)-Not less than 120%of the cost of the improvements 0 Maintenance-Not less than 10%of estimate of improvements ❑Other- These funds are for the purpose of a performance guarantee for Public Improvements including,utility mains,frontage improvements and other public amenities and are to be retained for a minimum of I year/months.The projected release date is scheduled for 01/29/2025 PW Reviewer to sign that the above warranty type and duration information is correct. PW Reviewer Name(Printed): Thad Newport PW Reviewer Signature: Thad Newport Date: 01/29/2024 Section II- To be completed by the City Clerk's Office Instructions:Complete the lower portion when deposit is made and route a copy to the Project PW Reviewer and the Depositor. The amount of L22,907.32 was deposited in the Assurance Deposit Account on 2-11 ZoZN (date of deposit).This transaction was completed by { GL CODE: 02-239-1006-000"assurance deposit" Note for Depositor:It is your responsibility to contact the Project PW Reviewer at least one month prior to the release date for inspection. They will coordinate with the PW Inspectors and prepare a release of funds letter if all work is satisfactorily completed.