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PIOLIC WORKS PERMIT '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 /> { I PROJECT SITE INFORMATION '' <br /> PROJECT ADDRESS: 6009 Flemming Street <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)SS16-003 <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX El MULTI-FAMILY ❑COMMERCIAL DINDUSTRIAL <br /> CHANGE OF USE? rZI NO ❑YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? ❑ NO 0 YES,TYPE 1" water, 6" side sewer SIZE <br /> F aSIT WORKIRIIGHT-OF':WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Clearing, grading and installation of frontage improvements for 2-lot <br /> short plat with associated drainage and utility installation <br /> o FENCE IN ROW FT IN HEIGHT <br /> PI DRIVEWAY APRON/CURB CUT 15 FT WIDE D <br /> La ASPHALT/CONCRETE PAVING 652 SF <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF JUL 2 5 2017 <br /> o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CITY OF EVERETT <br /> CLEARING/GRADING/FILL/EXCAVATE 50 CY Permit Services <br /> o CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> p CUT/BORE IN PAVEMENT(NON-PARALLEL) 30 LF <br /> �� akoat I�aiGP'�g CONTA Ti 1 NFt RMAT�IX N 4 k <br /> r,. . .. r" �:.- i �- <br /> OWNER NAME: Vitaliy Popach <br /> OWNER MAILING ADDRESS: STREET 6009 Flemming Street <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 360-265-5904 OWNER EMAIL:vapelectric@yahoo.com <br /> APPLICANT NAME: Same as Owner <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: APPLICANT EMAIL: <br /> PRIMARY CONTACT: 0 OWNER ❑APPLICANT pi OTHER(Architect, Engineer, Etc.) Western Engineers&Surveyors <br /> CONTACT NAME: CONTACT PHONE: 425-356-2700 <br /> Jesse Jarrell CONTACT EMAIL: jessej@wesi.co <br /> wesi.CO <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.lam the owner,or I am authorized by the owner of this property to <br /> perform the work for which 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 /> I I _Z� PERMIT# <br /> �� 7 _ PW1Th01 - ©115 <br /> 7 <br /> Owner/Aed Agent Signature Date (Revised 9/23/2016) <br />