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01-27. PLIC WORKS PERMIT - PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:4518 SEAHURST <br /> IF APPLICABLE: [LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) VIZ 16 -001 Junk -to eldy 13nynt+ C 1606-468 <br /> SITE WORK FOR PROJECT TYPE: EXISFR-DETACHED O^SFR-ATTACHED ID DUPLEX O MULTI-FAMILY) ED COMMERCIAL <br /> CHANGE OF USE? O NO 'BYES, FROM VP it (oNr__ TO SIR.. <br /> NEW WATER/SEWER SERVICE NEEDED? O NO M YES,TYPE sfAulir }- CL SIZE 5 <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION.,, <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR ( OSiO1\) C ISMO@ ) Dien w'6-, piq vi ll') <br /> O FENCE IN ROW FT IN HEIGHT <br /> O DRIVEWAY APRON/CURB CUT FT WIDE <br /> WIASPHALT/CONCRETE PAVING 6/49 SF <br /> I= RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> O CLEARING/GRADING/FILL/EXCAVATE CY <br /> O CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION I <br /> OWNER NAME: NARANJO JEFFREY A/SAWYER TON <br /> OWNER MAILING ADDRESS: STREET 201 2ND ST S APT 109 <br /> cITY KIRKLAND STATE WA ZIP 98033 <br /> OWNER PHONE:8137325070 (OWNER EMAIL: <br /> APPLICANT NAME: OWNER <br /> APPLICANT MAILING ADDRESS: STREET <br /> • <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 'APPLICANT EMAIL: <br /> PRIMARY CONTACT: OWNER O APPLICANT O OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: [ContactName] CONTACT PHONE: [ContactPhone] <br /> CONTACT EMAIL: [ContactEmail] <br /> ACKNOWLEDGEMENT.I have r- ed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> comply with current federa ate,an( local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be <br /> authorized in writing fr• the Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to <br /> perform the work hich applica on is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> l L PERMIT# <br /> K A <br /> .✓ PW1608-013 <br /> ut .rize. 'gentOwner Date (Revised 10/12/2015) <br />