Laserfiche WebLink
CITY OF EVERETT <br /> ASSURANCE DEVICE LICENSE <br /> Construction Site Address 10524 13TH AVE W <br /> Project#PW1.807-010 <br /> Project Name SITE DEVELOPMENT FOR 2 LOT SHORT <br /> PLAT <br /> TO ALL WHOM THESE PRESENTS CONCERN: <br /> Notice is hereby given that OXM ) \ � �, ��1� vner of the following tract of land, <br /> situated in Snohomish County: <br /> Parcel 00552500003300,Address 10524 13TH AVE W <br /> In consideration of the City of Everett, a municipal corporation under the laws of the State of Washington, <br /> permitting development activity on the above-described property, do hereby provide the City of Everett, its <br /> officers, employees and agents a license to go onto the above-described property for the purpose of <br /> inspecting,making or maintaining the improvements which are described as follows: <br /> Public Improvements including,utility mains,frontage improvements and other public amenities <br /> The license shall be valid and irrevocable until written authorization is recorded by the City of Everett <br /> terminating this license. <br /> IN WI WHEREOF, the un rsigned Owner(s) have executed this instrument this <br /> day of� ,20 . <br /> (Signature of owner) (Signature of owner) <br /> (Print Name) (Print Name) <br /> [SINGLE PERSONI <br /> STATE OF WASHINGTON <br /> ss. <br /> COUNTY OF SNOHOMISH <br /> I certify that I know or have satisfactory evidence that is the person <br /> who appeared before me,and said person acknowledged that said person signed this instrument and <br /> acknowledged it to be free and voluntary act of said person for the uses and purposes mentioned in the <br /> instrument. <br /> Dated this day of <br />