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� ���� ����� ������ � ��������� <br />CITY OF EVER�TT PERMIT C VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 42�-257-8810 ��AX 425-257-8857 �(E) everetieps@everettwa.gov � uvww.everettwa.gov/permits <br />- - __ _ :: _ _ _.< ,_: <br />, .. ;. <br />_ <br />`_ ' ` PROJEC7 Sl'(`E IIdFORMATION . , ;: <br />_ . :,: >. . ; :: :: - - __ ._ _ _--- _ . . , <br />_ __ ._ _ ... ___: . _._._ _ .. _ ----_. ._ _._.__. _ . . . _. . <br />PROJECT ADAR�SS: �.. � �-- � r G� � � ` L� � 4�. � I ��J � G-E.� — - - <br />1F APPLICABLE: ❑ LAND USE PROJECT #(SEPA, PRE-APP, SS, ETC.) <br />SITE WORK FOR PROJECT TYPE; L SFR-DETACHED ❑SFR /ATTACHED ❑DUPLEX ❑MULTI-FAMILY <br />CHANGE OF USE? ❑ NO ❑ YES, FROM TO <br />NEW WATER! SEWER SERVICE NEEDED? ❑ NO ❑ YES, TYPE <br />S17E WORK 1 RI <br />_. _ __ . . _ ,_: . _ __ - <br />DESCRIPTION OF WORK: �\� / � � <br />❑ FENCE IN ROW <br />t�Y D IVEWAY APRON J CURB CUi" <br />ASPHALT / CONCRETE PAV►NG <br />❑ REfAINING WALL / ROCKERY IN RiGHT-OF-WAY <br />❑ RETAINING WALL! ROCKERY OVER 4Ff' IN HEIGHT <br />❑ CLEARING / GRADING / FfLL / EXCAVATE <br />❑ CUT/BORE IN PAVEMENT (PARALL�L) <br />❑ CUT/BORE fN PAVEMENT (NON-PARALLEL) <br />� APPLICATION 1 <br />FT IN HEIGHT <br />FT W1DE <br />SF <br />LF <br />FT TOTAL HEIGHT <br />CY <br />LF <br />LF <br />❑COMMERCIAL ❑INDUSTRIAL <br />SIZE <br />TION <br />ACKNOWLEDGEMENT.� I have reviewed this application and contirm ihe intormar�on containea nerein �s rrue ana conec�. vwrx ����C N�,r�u4��� �� �„�� N�„�„� �„��. <br />comp/y wifh 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 writrng from the Building Offcial before being authorized under any circumstance. 1 am the owner, or 1 am authorized by the owner of this property to <br />perform the work for which application is made, and I comply wifh the State Cont�acfors Law 98.27 RCW and 296.200A WAC. <br />City of Everett Officia! Use Only <br />PERMIT # <br />� � V O � ���0�-L___� <br />Owner/Autharized Agent Signafure Date (Revised 10/92/2095) <br />