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CASII ASSURANCE. DEVICE <br />Section I -To he completed by the Project Planner <br />Instructions: Complete Scction I and the Assurance Device Licensc. Attach a copy of <br />cstint:nc of itnprovcmcats andfi/fia�x all documents to tthe,City Clcrrk's Office. <br />Construction Silc Address T /O / 'iyael/gtyv � _ <br />Project N, Project 11i <br />Tame of Depositor <br />Address PO <br />flume <br />'RO60 Email kWeeg llne,eoi/.PUiyJ <br />Check one <br />; 1'crfomtaacc (installation) - Not Icss than 150% of the cost of the improvements or <br />300% if in a critical area sff 000 (USf {°4t -- -> if 1200 n SsuYaoyel!� <br />❑ hiniatcaaacc - Not Icss titan, I o% of estimale of itnprovcmcats <br />❑ Other - <br />'These funds are to be retained for a minimum of (d ycarsllnonths. Ilic projected <br />release date is scheduled for 1�1Z11�L_10�.L—• <br />Section I I -To be completed by the City Clerk's Office <br />Inatructlmty: Complete the lower portion when deposit is made and route n copy to the <br />11trtject 11Innuer and the Depositor. <br />,llte amount of S�� was deposited in the Assurance Deposit <br />Account (002.239-1006.000) oil � 110 +f 05731_ (datc of deposit). <br />'I"Itis transaction was completed by _ �>� bb - ZQd]• <br />Nate for Delravltar: It ls)wur reahonslhtltrp to contact the Project !'fanner at least ane <br />utauth IvIor ro the release date for InrpecNan. <br />2930 Wcuuotc Mcnuc. Suitc $-A Everett, <br />I • Ihx 425.257.9742 • W%vw.cvcrcttwn.org <br />Y5 <br />