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I ! <br /> CITY OF EVERETT PERMIT SERVICES <br /> CY —if- atvv%ciiAR S r rccI't,E v ERE1 i,'v'vti go20 i <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits <br /> 24 ' PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 116Xf Airport Rd, Everett, WA 98204 <br /> SITE 1fIFVRA<rVR PROJECT i i i'C. UaSi'K-L/C lnCi'ICC3 t..IJrR-n 1 Int.rfCfJ' L1UtJP'Lcn LYlt3i it9-rF1fVYF1::F Zl4VIVl45tiLTC�itL f LFY11tlLiL3.71 Ri/'lt IF APPLICABLE: (LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) S 1,8 tF-010 ( ,ittti , #ti <br /> IF APPLICABLE: 0 FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# hiefisOn <br /> DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: (i' <br /> V I� <br /> ❑ FENCE IN ROW „ �' "" <br /> E w"siia�z.`.ivAyAr=4[Gus'�u.0 s s iir�iu (T.?)� 1113 <br /> �'�'/ <br /> ❑ASPHALT/CONCRETE PAVING 31,700 sF �� �". .— <br /> ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY FT IN HEIGHT <br /> LF <br /> ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING/GRADING/FILL/EXCAVATE 4,000 CY <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> E POLE.WORK t AERIAL/OVERLASH LF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME: Sonrise Christian Center <br /> OWNER/APP. MAILING ADDRESS: STREET 11625 Airport Rd <br /> cw Ever eh STATE WA ZIP 98204 <br /> OWNER/APP.PHONE: 425 356 2654 OWNER/APP. EMAIL: jimlane13@gmail.cot71 <br /> CONTRACTOR NAME: Interwest Construction Inc <br /> CONTRACTOR ADDRESS- STREET 609 N.Hill Blvd <br /> c-ry Burlington STATE WA zip 98233 <br /> CONTRACTOR PHONE: 360 757 7574 CONTRACTOR EMAIL: milos@interwest.biz <br /> CONTRACTOR LICENSE#(REQUIRED): 601 029 425 EVERETT BUSINESS LICENSE#(REQUIRED): 036377 <br /> PnIMAMT CONTACT::. grOvv»NER r APPLICANT t0lCONTRACTOR 0 OTHER(Alchitact,Ef lyiiieet,Etc.) <br /> CONTACT NAME: CONTACT PHONE: 206 790 6817 <br /> Jim Lane CONTACT EMAIL: jimlane13@gmail.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 properly to <br /> perform me wark'tot wnicnn application is mace,anti i comply with me state t otitractors Law T1i.zi H( W ana01t%200A WA(); <br /> City of Everett Official Use Only <br /> 1 PERMIT# <br /> , <br /> 1_ 1 lal9q ,-, 1 n I <br /> 4 c,r-‘,..,r6J-- - _S , 7211412_,,c ,- ,S ti gRIse t_il fy .s-1-7 tru,I IPA/ ( civ 0 "u ( u i <br /> c. lIr6. )� <br />