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OLT PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1632 46TH ST SE <br /> IF APPLICABLE: CI LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: O SFR-DETACHED O SFR-ATTACHED 1-1 DUPLEX LI MULTI-FAMILY O COMMERCIAL <br /> CHANGE OF USE? O NO Li YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? O NO O YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: NEW SFR DETACHED <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 /> = CLEARING/GRADING/FILL/EXCAVATE CY <br /> o CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: RETTENMEIER JOHN <br /> OWNER MAILING ADDRESS: STREET 1630 46TH ST SE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: (OWNER EMAIL: <br /> APPLICANT NAME: HANSEN MIKE <br /> APPLICANT MAILING ADDRESS: STREET 3208 COLBY AVE <br /> cm, EVERETT STATE WA ZIP 98201 <br /> APPLICANT PHONE: (APPLICANT EMAIL: mike.hansen@kw.com <br /> PRIMARY CONTACT: O OWNER O APPLICANT = OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CARL SETZER CONTACT PHONE: 2062653894 <br /> CONTACT EMAIL: csetzer.ecc@gmaii.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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW1706-049 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />