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eip : . PUBLIC WORKS PERMIT A,.''PLUCATNON <br /> z <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa_gov I www.everettwa.gov/permits <br /> ' PROJECT.SIT'E IN ORMATIO <br /> PROJECT ADDRESS,.,,:"" i OCI - I Z `t j�. 1, Si� • �I ti•.E.i L,)-1 , A Cl Cd'LL�4.a <br /> IF APPLICABLE: LAND USE PROJECT#(SEPA,PRE APP,SS,ETC.)S.-t I hl:kil i-k t�tltir`l'" _q ?S NA 14- I I CQ .- _ <br /> SITE WORK FOR PROJECT TYPE: FR-DETACHED ©SFR-ATTACHED ODUPLEX ❑MULTI-FAMILY OCOMMERCIAL DIINDUSTRIAL <br /> CHANGE OF USE? ANO 0 YES, FROM TO - <br /> NEW WATER I SEWER SERVICE NEEDED? ❑NO RYES,TYPE • SIZE <br /> ' SITE WORK h.'RIGHT-OF WAY`:APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: it.i+J AI.>v �'AAT1-� "Dt2-1.t i:.L A''.` (= El•-t� 4 r l+t.•t 741 i'l"'- T <br /> F - 1 411 (.‘7 J t , lA 1"1 t`►iL,i '1%.1 r..X W W' l t n.l L. 02 6 MO i 1" UL_%)?04-k C) <br /> 'Z ' C .L 1I-- ; /�j .,;p1 i tit- t-cv-,11(. 1" <br /> 21 .EN ROW t 0 ' <br /> FT IN HEIGHT 9 <br /> 0 DRIVEWAY APRON/CURB CUT FT WIDE <br /> ASPHALT/CONCRETE PAVING 7.}C SF <br /> Il RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> O CLEARING/GRADING/FILL/EXCAVATE 1 s CY <br /> ®CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION , <br /> OWNER NAME: '" -kYVM h - ?L:�' i <br /> V'41., , -t t <br /> i <br />