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irm PUOLIC WORKS PERMIT APIILICATION <br /> E V E R E T T CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2721 WETMORE AVE <br /> IF APPLICABLE: [O LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: LJ SFR-DETACHED LJ SFR-ATTACHED O]DUPLEX Li MULTI-FAMILY O COMMERCIAL <br /> CHANGE OF USE? LA NO [O YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? Pi NO O YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: PUBLIC WORKS FOR NEW APARTMENT BLDG <br /> LA FENCE IN ROW FT IN HEIGHT <br /> O DRIVEWAY APRON/CURB CUT FT WIDE <br /> OASPHALT/CONCRETE PAVING SF <br /> O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF FTTh t • <br /> O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT I ! <br /> CI CLEARING/GRADING/FILL/EXCAVATE CY \\ JUN 2 1 2019 <br /> pi CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> L 1 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CITY Y OF EVERETT <br /> Permit Service <br /> CONTACT INFORMATION <br /> OWNER NAME: NORTH COUNTY PROPERTIES LLC <br /> OWNER MAILING ADDRESS: STREET 2707 COLBY AVE STE 1200 <br /> ciT' EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 'OWNER EMAIL: <br /> APPLICANT NAME: SKOTDAL ART <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 4252525400 (APPLICANT EMAIL: ART@SKOTDAL.COM <br /> PRIMARY CONTACT: I 1 OWNER O APPLICANT i0 OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: SKOTDAL ART CONTACT PHONE:4252525400 <br /> CONTACT EMAIL: ART@SKOTDAL.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 /> /71 <br /> City of Everett Official Use Only <br /> Y'RI/ki> <br /> 0/ /f PERMIT# <br /> PW 1906-061 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />