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PUBLIC WORKS PERMIT APPLICATION <br />Clw OF EVERETT PERMIT SERVICES <br />EVERETT <br />MOD CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON <br />(P) 425-25/-0810 1 FAX 425-257-0857 1(E) even eps®ewmre .9ov <br />l htlps'/Awemdwe.0ov/permits <br />PROJECT SITE INFORMATION <br />PROJECTADORESS:99102nd Ave BE Everett, WA 98200 <br />SITE WOW MR PRIMECTTYPE: 08FWDETACHSO OTDWNHOWE OOIIPLEX DADA C&COWMtlLY OOOMMERCML O1Nou9TRIAL <br />IFAPPLICABLE:❑LWUSEPROJECTS(SEPA,PRE-APP,SS,ET.) <br />IFAPPLICABLE: ❑FMNCMSEMILITY COMPANY,ANNVAL BLANKET PERMIT# <br />UTILRY COMPANNS NAME S JOB#: J09# <br />'< DESCRIPTION OF SITE WORK/RIGHT-OF-WAY WORN' <br />FILL INALLGUANTMIES OFWORK BELOW, ASAPPLWABLE: <br />❑FENCE INROW FTIN HEIGHT <br />❑DRIVEWAYAPRONICURRWT FT WIDE <br />m ABPIWLT/CONCRETEPAWHG 1912.87 SF <br />❑RETAININ3 WALL I ROCKERY IN RIGHT-0FWAY _LF <br />❑ RETAININGWALLI ROCKERYOVER4FTIN HEIGHT FTTOTALMIGHT <br />❑CLEARINGIGRADINGIFILLIEXCAVATE CY <br />❑ CUTMORE IN PAVEMENT(PARALML) LF <br />❑ CUTMORE IN PAVEMENT(NON-PARALLEL)LF <br />❑POLEWORKIAERIALIOVERIASH LF <br />WRWNAL DESCMP NAS NEemn): <br />DRAINAGE MITIGATION WESTNINS: <br />STORMWATERDISCWRGESTO: <br />[7 Gamanm sewer <br />[98apmMC elam 9w.er <br />OO'+eU pxMNero SnoM1aMM RIrn-a Rgvl9auM <br />TRIGGERED FEOIAREMENTS: <br />0MH2ON ❑NRt-6 ❑MR19 <br />GUANTRYOFPROPOSEDHARDSURFACES: <br />PoanWHING rm 9F <br />PftFOeM Haf4aale' 101247 SF <br />IToWNWIFSploned: SF <br />AddlnN a concrete pad to the side/ rear of the Gaspe. <br />CONTACT INFORMATION <br />OWNERIA IMICANT NAME: Kerlee Ikebara <br />OWNERIAPP. MAILINLIAOORESS: mxre.991820d Ave SE <br />any Everett VATS WA >R 98208 <br />OWNER I ARP. PHONE: 4252322714 <br />IMNERIAPP. EMAIL: kedee.Mebara®9R1all.com <br />•Ppune#H� WakN INORCMpnbM1Wry <br />CONTRACTORNAME N/A <br />WNTRACTORAOORESS: <br />amy <br />CONTRACTOR PHONE: <br />jCONTRA=R EMAl: <br />CONTRACTOR LICENSE iNWOUMED): <br />EYEReTT 0a91ME$9 tKEX$F RREGDIREDT. <br />PRIMARYCONTACT: mOWNERIAPPLICANT ❑CONTRACTOR ❑OTHER(AIaMIeci,ElMlxeer,EhJ <br />CONTACT NAME: <br />Karlee Ikebara <br />CONTACT PHONE: 4252322714 <br />lCONTACT EMAIL Ia Im.ikHdWNa@9nml.mm <br />ACKNOWLEOGEMENP. I have nvYnsl lnrtapp6callMantl mlNmtlN nIMmKVe WNBiMtlhBlMhYuBMtl MtBC WP'k tlJnBpMYW IO N#pmNMW <br />aumaumor wnn cunanl roeaN, srere. xronlalrew. me orannnaorapamttaeryeamo4ea )am <br />Roo onodewlrone#rerehom.OevFYbnamwlhna <br />mg <br />pwfom dinINS <br />Mwh a BHwIkOghbla NO 000pautnMthe ShoymIWGSHolam.e'&27R andulamaallmvO4y Ne wnMalMkga➢Mylo <br />peMnn flee wwk lw M:G1 e➢➢#aNbakmNAMtlICATpIy Wtlll fM Shoe Pon4MSWe Lew IflPflC1VarM 1B610hAWAG <br />Qb MEWmM 041WIUn OM' <br />PERMIT# <br />Karles Ikebara °"""„a'6�b """ pw % 7,0 3 — 0 3) c <br />OffiW"A s mm� #smslpxewre Dow "wat maolM <br />`�—Z-l9 T'/2`If24zz <br />