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PUBLIC WORKS Permit Number: PW2209-005 <br /> PERMIT Permit Type: PUBLIC WORKS <br /> Permit Subtype: MINOR SITE WORK(UNDER <br /> EVERETT City of Everett Permit Services 2000SF HARD SURFACE) <br /> WASHINGTON PermitServices@everettwa.gov 1425.257.8810 Date Issued: 10/10/2022 <br /> Request Inspections:OnlinePermits.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 9907 19TH AVE SE PARCEL#: 28051700303400 <br /> DESCRIPTION: INSTALL GATE TENANT: CHURCH OF CHRIST-SILVER LAKE <br /> PERMIT VALUATION: $500.00 <br /> CONTACT INFORMATION: <br /> OWNER:CHURCH OF CHRIST-SILVER LAKE PHONE: (425)626-7676 <br /> MAILING ADDRESS:CHURCH OF CHRIST-SILVER LAKE 9907 BOTHELL WAY EMAIL:WALTERPATCH ETT@COM CAST.NET <br /> EVERETT,WA 98204 <br /> APPLICANT:CHURCH OF CHRIST-SILVER LAKE PHONE:(425)626-7676 <br /> MAILING ADDRESS:CHURCH OF CHRIST-SILVER LAKE 9907 BOTHELL WAY EMAIL:WALTERPATCH ETT@COM CAST.NET <br /> EVERETT,WA 98204 <br /> CONTRACTOR:OWNER PHONE: <br /> MAILING ADDRESS: , EMAIL: <br /> STATE CONTRACTOR'S LIC#: EVERETT BUSINESS LIC#: <br /> PERMIT FEES: <br /> DESCRIPTION PAID AMOUNT DATE PAID <br /> PW PLAN REVIEW(EST) $20.00 10/10/2022 <br /> PW SITE INSPECTION(EST) $20.00 10/10/2022 <br /> MISC MINOR PERMITS AND/OR PLAN REVIEWS $25.00 10/10/2022 <br /> $65.00 <br /> PERMIT CONDITIONS: <br /> CONDITION TYPE CONDITION DETAILS <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 Number: PW2209-005 Page 1 of 1 <br />