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PU-BL-IC-WORKS-PERMI-T-APP-L-IC-A-T-ION - <br /> -- —-------- _ --- — — —-- CI-T-Y OF-EVERET-T PERMI-T--SERVICE-S=— -- ----- _-__ <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:2815 VIRGINIA AVE <br /> IF APPLICABLE: O LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: O SFR-DETACHED O SFR-ATTACHED =DUPLEX O MULTI-FAMILY 0 COMMERCIAL <br /> CHANGE OF USE? 0 NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? NO O YES,TYPE SIZE <br /> —- -- --- -- -- — --- —---— = --SITE WORK L RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: MCI Metro Franchise Permit#1703MNTR.003 ROW EVT 0937 <br /> INSTALLATION OF 568 LF OF 2" HDPE CONDUIT, (1)VAULT, (1) MANHOLE AND PULL FIBER CABLE IN THE RIGHT- <br /> OF-WAY OF THE ALLEY BEHIND HEWITT AVE (BETWEEN VIRGINIA AVE & FULTON ST). INSTALLATION VIA(561 LF) <br /> OF DIRECTIONAL BORING IN THE ROW& (7 LF) OF TRENCHING IN SOFT SOIL. <br /> LAPPROVED_i�a� See TCP sheets for notes.DO at 7:43:10 AM,2111/2019 <br /> O CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> =O-CUT/BORE-1N-PAVEMENT(NON=PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: BR BAR LEASING LC <br /> OWNER MAILING ADDRESS: STREET 4225 SOUTH 500 WEST <br /> CITY SALT LAKE CITY STATE UT zip 84123 <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 /> PRIMARYDGQN_TACT:_0-OWNER7:----=EE�-ARRL-ICAN-T ---EE-0T-HER_(Architect;-Engineer Etc.)- —z -- - -- --- <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 /> EP <br /> # <br /> W1902-015 <br /> ETRAWTAPPLICATION RECEIVED 2/8/2019 (Revised 313012018) <br />