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r grr PU AC WORKS PERMIT A 'LICATION <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: 12906 19th AVE SE <br /> IF APPLICABLE: Li LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: OSFR-DETACHED O SFR-ATTACHED O DUPLEX O MULTI-FAMILY O COMMERCIAL <br /> CHANGE OF USE? O NO O YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? O NO O YES,TYPE SIZE <br /> E WORK/'RIGHT-00" Y APPLICATION INFORMATION ,,z'''':':''': 149 <br /> : <br /> DESCRIPTION OF WORK: PARKING LOT REVISIONS FOR TI <br /> = FENCE IN ROW FT IN HEIGHT <br /> n DRIVEWAY APRON/CURB CUT FT WIDE <br /> =ASPHALT/CONCRETE PAVING SF <br /> O 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 /> EA CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> §_z' CON f ORMAT <br /> OWNER NAME: FRED MEYER STORES INC <br /> OWNER MAILING ADDRESS: STREET 1014 VINE ST FL 7 <br /> cm, CINCINNATI STATE OH ZIP 45202 <br /> OWNER PHONE: (OWNER EMAIL: <br /> APPLICANT NAME: BARGHAUSEN CONSTRUCTION ENGINEERS <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 4252516222 'APPLICANT EMAIL: jhowitt@barghausen.com <br /> PRIMARY CONTACT: O OWNER O APPLICANT L OTHER (Architect, Engineer, Etc.) <br /> CONTACT NAME: HOWITT JOEL CONTACT PHONE:4252516222 <br /> CONTACT EMAIL: jhowitt@barghausen.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 wor for whi h application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> F J -tr. City of Everett Official Use Only <br /> PERMIT# <br /> PW1707-036 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />