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t <br />CITY OF EVERETT <br />ASSURANCE DEVICE. LICENSE <br />Construction Site Address Lkko k R—Jka,- (\Jc_ _ <br />Project # <br />Project Name —Aci <br />TO ALI. Wl IOM 'I 1lliSli PRESENTS CONCERN: <br />�• ` _- _ Notice is hereby given that -,If-c <br />� �%,zOwncr(s) of the fitllowing tract of land, situated in Snohomish County: <br />'A\r� \ <br />0 <br />In consideration of tlic City of Everett. a nnmicipal corporation under the laws of the <br />State of Washington, pcnnitting development activity on the above -described property, <br />do hereby provide the City of liverell. its officers. employees and agents a license to go <br />onto the above-descrilxd property for the purpose of inspecting, making or maintaining <br />the improvernews which are described as follows: t <br />The license shall he valid and irrevocable until wrincn authorirntion is recorded by the <br />Cityoflivercit terminating this license. <br />IN WITNESS yvI IEREOF, the undersigned Owner(%) hive executed this instrument this <br />ay of :J.%J�.20%o <br />(. gnaturc of owner) (Signature of owner) <br />f c. e� "w C a r% <br />(Print Name) (Print Name) <br />_ Cwh Assurance Device to dte Ci olEverelr_ <br />26o Wetmore Avenue, Suite 8•A • 1:verc11, WA 98201 • 425,257.8731 • fax 423.257.8742 a www,evercuwn.org <br />4!5 <br />