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PUBLIC WORKS Permit Number: PW2209-020 <br /> PERMIT Permit Type: PUBLIC WORKS <br /> Permit Subtype: MINOR SITE WORK (UNDER <br /> EVERETT 2000SF HARD SURFACE) <br /> City of Everett Permit Services Date Issued: 12/6/2022 <br /> WASHINGTON PermitServices@everettwa.gov 1425.257.8810 <br /> Request Inspections:OnlinePermits.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 225 97TH PL SE PARCEL#: 00744300001000 <br /> DESCRIPTION: AFH MAIN LEVEL SFR, INTERIOR AND EXTERIOR WORK TENANT: <br /> NOTES: PERMIT VALUATION: $58,000.00 <br /> CONTACT INFORMATION: <br /> OWNER: KHLOK SAMPHORS/KONG CHANRATANA PHONE: <br /> MAILING ADDRESS:918 150TH PLACE SW LYNNWOOD,WA 98087 EMAIL: <br /> APPLICANT: ERMIAS HAILU PHONE: (206)775-1471 <br /> MAILING ADDRESS: , EMAIL: ERMIAS@EMDDESIGNPRACTICE.COM <br /> CONTRACTOR:OWNER PHONE: <br /> MAILING ADDRESS: , EMAIL: <br /> STATE CONTRACTOR'S LIC#: EVERETT BUSINESS LIC#: <br /> PERMIT FEES: <br /> DESCRIPTION COMMENTS FEE AMOUNT DATE PAID <br /> PW PLAN REVIEW(EST) $20.00 12/6/2022 <br /> PW SITE INSPECTION(EST) $20.00 12/6/2022 <br /> SYSTEM DEVELOPMENT FEE STORMWATER 93 SO FT $24.91 12/6/2022 <br /> PAVING(SQFT) $45.00 12/6/2022 <br /> TOTAL:$109.91 <br /> PERMIT CONDITIONS: <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to <br /> applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. <br /> VALIDITY/EXPIRATION: <br /> Work authorized by this permit must be started within 180 days of date permit is issued and thereafter is to be diligently pursued to completion.This permit <br /> may be canceled by the city upon any stoppage of work on this project over 180-day duration.Each inspection extends the expiration date 180 days to keep the <br /> permit open while work is active. <br /> EVERETT Permit No.: PW2209-020 Page 1 of 1 <br />