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_1kjU*IC WORKS E ' A <br />*LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />DESCRIPTION OF WORK: <br />❑ FENCE IN ROW <br />❑ DRIVEWAY APRON / CURB CUT <br />❑ ASPHALT / CONCRETE PAVING <br />❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY <br />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT <br />❑ CLEARING / GRADING / FILL / EXCAVATE <br />FT IN HEIGHT � ��� ��„��Q�f'nAA <br />�' <br />FT WIDE � L ,c" � _i� / <br />SF J� <br />LF wr7511- <br />FTTOTAL HEIGHT <br />CY <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) LF <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF <br />comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations tneretrom. ueviauons musr nrsr Ue <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 wh' h application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />o� ►� PW l so y �� <br />Owner/Authorized Agent Signature Date (Revised 1011212015) <br />