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4/6-27. P ILIC WORKS PERMIT A 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 8215 BROADWAY CO <br /> IF APPLICABLE: o LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: OSFR-DETACHED OSFR-ATTACHED O DUPLEX O MULTI-FAMILY O COMMERCIAL <br /> CHANGE OF USE? = NO i I YES, FROM TO <br /> NEW WATER I SEWER SERVICE NEEDED? O NO O YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: INSTALL 10FT TALL ELECTRIC SECURITY FENCE <br /> O FENCE IN ROW FT IN HEIGHT <br /> O DRIVEWAY APRON/CURB CUT FT WIDE <br /> =ASPHALT/CONCRETE PAVING SF <br /> O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> = RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> O CLEARING/GRADING/FILL/EXCAVATE CY <br /> = CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: FLEET REAL ESTATE LLC <br /> OWNER MAILING ADDRESS: STREET 7511 BEVERLY BLVD <br /> cn-r EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: (OWNER EMAIL: <br /> APPLICANT NAME: ELECTRIC GUARD DOG LLC <br /> APPLICANT MAILING ADDRESS: STREET 550 ASSEMBLY ST, 5TH FL <br /> ciyv COLUMBIA STATE SC ZIP 29201 <br /> APPLICANT PHONE: 8034046189 (APPLICANT EMAIL: CBAUSINGER@ELECTRICGUARDDOG.COM <br /> PRIMARY CONTACT: = OWNER O APPLICANT O OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: MICHAEL PATE, ELECTRIC GUARD CONTACT PHONE: 8034046189 <br /> DOG LLC <br /> CONTACT EMAIL: CBAUSINGER@ELECTRICGUARDDOG.COM <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be <br /> authorized in writing from the Building Official before being authorized under any circumstance. I am the owner,or I am authorized by the owner of this property to <br /> perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW1903-038 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br /> 1'/Z <br />