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DEMOLITION CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> EVERETT <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.gov <br /> PERMIT NUMBER: D2301-002 ISSUED DATE: 3/30/2023 <br /> JOB ADDRESS: 6515 MORGAN RD APN: 00393400002400 <br /> OWNER: SOUTH EVERETT LIONS CLUB/RALPH ROWLAND TENANT: LIONS PARK wireless facility on utility pole <br /> PO BOX 1404 <br /> MARYSVILLE WA 98270 <br /> PHONE: (949)336-1550 PHONE: <br /> DESCRIPTION OF WORK: CONTR: BETACOM INCORPORATED <br /> Decom of an existing wireless communications facility. <br /> 9331 E FOWLER AVE <br /> Decom of wireless facility on utility pole. Pole to remain. THONOTOSASSA FL 33592 <br /> PHONE: (813)986-4922 <br /> CONTRACT PRICE OF WORK: $30,000.00 <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 at the back side of the meter prior to demolition of the structure.Owner to contact Utilility Billing to <br /> shut off water service and stop billing by sending an email to utilbill@everettwa.gov. <br /> 3.All existing connected side sewers shall first obtain a separate utility permit for a side sewer cap-off and then be capped at the property line prior to <br /> demolition of the structure. <br /> 4.All existing electrical services shall first obtain an ELECTRICAL ONLINE permit,and then disconnect electrical service prior to demolition of the structure. <br /> 5.All applicable abatement(asbestos,lead paint,rodent,etc.)shall be completed prior to demolitions per state,local,and federal regulations. It is the <br /> owner/applicant's responsibility to contact the appropriate authority and comply with these requirements whether or not described herein. <br /> 6.Erosion and sedimentation control measures per City standards shall be taken prior to and throughout the demolition. <br /> 7.No site work,clearing,grading,excavating,or earthwork permitted except to restore building pad after demolition.Building pad area shall be graveled or <br /> re-vegetated.No exposed soils permitted. <br /> 8. No dirt/debris to be tracked onto roadway. <br /> 9. Request a PW SITE FINAL inspection type online at pw.everettwa.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: ACKNOWLEDGEMENT OF CONDITIONS <br /> ADMINISTRATIVE FEE $100.00 By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to the above listed permit conditions and agrees to hold <br /> DEMOLITION $55.00 and save harmless the City of Everett from any and all claims for <br /> STATE SURCHARGE IBC/IEBC $25.00 damages,costs,expenses,or causes of action that may arise because of <br /> Percent Credit Card Fee $2.30 the construction hereto applied for and further agrees to remove same <br /> upon notice from the City. <br /> Percent Credit Card Fee $1.88 <br /> TOTAL FEE $186.02 <br /> TOTAL FEES PAID $186.02 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> D2301-002 <br /> —APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />