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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 www.everettwa.gov/permits <br /> PROJECT SITEINFORMATION--- <br /> PROJECT ADDRESS:2408 39TH ST <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#1703MNTR.004 ROW EVT 0586 <br /> INSTALLATION OF 62 LF OF 2" HDPE CONDUIT, (1)VAULT, (2) MANHOLES AND PULL FIBER CABLE IN THE RIGHT- <br /> OF-WAY OF THE ALLEY BEHIND 2408 39TH ST&AT 3826 SMITH AVE. INSTALLATION VIA(62 LF) OF TRENCHING IN <br /> SOFT SOIL. <br /> APPROVED See TCP sheets for notes. <br /> By JWISDO at 11:32:05 AM,111812019 <br /> = CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> = CUT/BORE IN PAVEMENT(NON-PARALLEL) - - - -- - LF <br /> CONTACT INFORMATION <br /> OWNER NAME: SHEELER JACK <br /> OWNER MAILING ADDRESS: STREET 8919 EASTVIEW AVE <br /> CITY EVERETT STATE WA zip 98208 <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 = 0 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 1 am authorized by the owner of this property to <br /> perform the work for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW1901-031 <br /> ETRAKiT APPLICATION RECEIVED 111612019 (Revised 313012018) <br />