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P LIC WORKS PERMIT POPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5001 SOUND AVE <br /> IF APPLICABLE: O LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: OSFR-DETACHED CISFR-ATTACHED ODUPLEX LIMULTI-FAMILY CI COMMERCIAL <br /> CHANGE OF USE? O NO fu YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? o NO r-1 YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: ADDITION OF NEW 2 CAR ATTACHED GARAGE & ELEVATED DECK <br /> CI FENCE IN ROW FT IN HEIGHT <br /> u DRIVEWAY APRON/CURB CUT FT WIDE <br /> OASPHALT/CONCRETE PAVING SF <br /> u 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 /> O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: CHAN AMBROSE YING KUEN &CHEUNG WAN MEI <br /> OWNER MAILING ADDRESS: STREET 5001 SOUND AVE <br /> aTv EVERETT STATE WA zip <br /> OWNER PHONE: (OWNER EMAIL: amchan007@hotmail.com <br /> APPLICANT NAME: fAppNamel <br /> APPLICANT MAILING ADDRESS: STREET [AppAdd] <br /> cny [AppCi] STATE [AppSt] ZIP [AppZip] <br /> APPLICANT PHONE: [AppPhone] (APPLICANT EMAIL: [AppEmail] <br /> PRIMARY CONTACT: CI OWNER O APPLICANT I= OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME:ALMOND DOUGLAS CONTACT PHONE: 2062250068 <br /> CONTACT EMAIL: DOUG.ALMOND@NUTTYCAD.COM <br /> ACKNOWLEDGEMENT:1 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW2002-01 9 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />