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OLT KWIC WORKS PERMIT Ai'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 10725 19TH AVE SE <br /> IF APPLICABLE: E71 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: El SFR-DETACHED CI SFR-ATTACHED 0 DUPLEX MULTI-FAMILY Li COMMERCIAL <br /> CHANGE OF USE? Li NO LA YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? Li NO [-1 YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: SITE WORK FOR 12 NEW TOWNHOMES <br /> Li FENCE IN ROW FT IN HEIGHT <br /> L� DRIVEWAY APRON/CURB CUT FT WIDE <br /> LiASPHALT/CONCRETE PAVING SF <br /> C� RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> Li RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> LA CLEARING/GRADING/FILL/EXCAVATE _CY <br /> CI CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> CA CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: WONG ALVIN &TINA KOO <br /> OWNER MAILING ADDRESS: STREET 16309 SE 7TH ST <br /> CITY BELLEVUE STATE WA ZIP 98008 <br /> OWNER PHONE: (OWNER EMAIL: tinaalvinwong@gmail.com <br /> APPLICANT NAME: JAMESON ROSS <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 4252522153 (APPLICANT EMAIL: ROSS@2812ARCHITECTURE.COM <br /> PRIMARY CONTACT: LI OWNER n APPLICANT CA OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: 2812 ARCHITECTURE CONTACT PHONE:4252522153 <br /> CONTACT EMAIL: ross@2812architecture.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 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 /> PW1802-030 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />