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r <br /> CASH ASSURANCE DEVICE <br /> Section I - To be completed by the Project Planner <br /> Instructions: Complete Section I and the Assurance Device License. Attach a copy of <br /> estimate of improvements and fax all documents to the City Clerk's Office. <br /> Construction Site Address 3015 EVERETT AVENUE <br /> Project#, Project Planner. REV I 15-010, TERESA WELDON <br /> Name of Depositor BRIAN BODGE <br /> Address 523 61ST ST SE, EVERETT, WA 98203 <br /> Phone 425-879-3437 Email brianbodge@msn.com <br /> Check one: <br /> ❑ Performance(installation) -Not less than 150% of the cost of the improvements or <br /> 300% if in a critical area <br /> 0 Maintenance-Not less than 10% of estimate of improvements <br /> ❑ Other- <br /> These funds are to be retained for a minimum of 3/0 years/months. The projected <br /> release date is scheduled for January 11, 2019 <br /> Section II - To be completed by the City Clerk's Office <br /> Instructions: Complete the lower portion when deposit is made and route a copy to the <br /> Project Planner and the Depositor. <br /> The amount of$ loo was deposited in the Assurance Deposit <br /> Account(002-239-1006-000)on (date of deposit). <br /> This transaction was completed by x j <br /> Note for Depositor:It is your responsibility to contact the Project Planner at least one <br /> month prior to the release date for inspection. <br /> Cash Assurance Device to the Cily�IfEveretl <br /> 2930 Wetmore Avenue,Suite 8-A * i?verett, WA 98201 • 425.257.8731 • fax 425.257.8742 • www.everettwa.ort; <br /> VS <br />