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P•LIC WORKS PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (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:3302 MCDOUGALL AVE <br /> IF APPLICABLE: Cl LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: O SFR-DETACHED CI SFR-ATTACHED CI DUPLEX O MULTI-FAMILY LI COMMERCIAL <br /> CHANGE OF USE? O NO I 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: SITE WORK FOR 2340SF WAREHOUSE ADDITION <br /> O FENCE IN ROW FT IN HEIGHT <br /> I� DRIVEWAY APRON/CURB CUT FT WIDE <br /> OASPHALT/CONCRETE PAVING SF <br /> CI 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 /> II CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: HILL STREET INVESTMENT LLC <br /> OWNER MAILING ADDRESS: STREET PO BOX 5459 <br /> CITY EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: IOWNER EMAIL: <br /> APPLICANT NAME: NEWLAND PETER <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 4257540700 (APPLICANT EMAIL: PETER@HILLSTREETINVESTMENT.COM <br /> PRIMARY CONTACT: O OWNER CI APPLICANT Cl OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: NEWLAND PETER CONTACT PHONE:4257540700 <br /> CONTACT EMAIL: PETER@HILLSTREETINVESTMENT.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 hich application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 6144 - - City of Everett Official Use Only <br /> u�^ PERMIT# <br /> PW1907-035 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />