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PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> _ --_- -_-- PROJECT SITE-_INFORMATION- <br /> PROJECT ADDRESS:3301 HOYT AVE SE <br /> IF APPLICABLE: = LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: =SFR-DETACHED =SFR-ATTACHED =DUPLEX =MULTI-FAMILY =COMMERCIAL <br /> CHANGE OF USE? ONO = YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? = NO = YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: MCI Metro Franchise Permit#1801AUJEA9 ROW EVT 0584 <br /> INSTALLATION OF 1052 LF OF 2" HDPE CONDUIT, (4)VAULTS AND PULL FIBER CABLE IN THE RIGHT-OF-WAYS OF <br /> (3302-3501) HOYT AVE &THE ALLEY BEHIND 3619 RUCKER AVE. INSTALLATION VIA(1011 LF) OF DIRECTIONAL <br /> BORING IN THE RIGHT-OF-WAY& (41 LF) OF TRENCHING IN SOFT SOIL. <br /> APPROVED A4 <br /> See TCP sheets for notes. <br /> By JWISDOM at 2:22:49 PM,111512019 <br /> = CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> = CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: E&B PROPERTIES LLC <br /> OWNER MAILING ADDRESS: STREET 2920 HEWITT AVE STE A <br /> CITY EVERETT STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> APPLICANT NAME: Arnaldo Blanco <br /> APPLICANT MAILING ADDRESS: STREET 3000, E Cesar Chavez St. <br /> CITY Austin STATE TX ZIP 78702 <br /> APPLICANT PHONE: 7873492960 APPLICANT EMAIL: ablanco@fg-inc.net <br /> PRIMARY CONTACT: = OWNER =APPLICANT = OTHER(Architect, Engineer, Etc:) - <br /> CONTACT NAME:Arnaldo Blanco CONTACT PHONE:7873492960 <br /> CONTACT EMAIL: ablanco@fg-inc.net <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 /> PW1901-026 <br /> ETRAKiTAPPLICATION RECEIVED 111412019 (Revised 313012018) <br />