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� P�LIC WORKS PERMIT �PLICATION <br />� CITY OF EVERETT PERMIT SERVICES {��'� •��"-�'�� L <br />3200 CEDAR STREET, EVERETT, WA 98201 �G�/� Ie V <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everetiwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: � � � ��,� � ���'L���� �� � � F " � �� �j,_,' � � � �� <br />IF APPLICABLE: ❑ LAND USE PROJECT #(SEPA, PRE-APP, SS, ETC.) <br />SITE WORK FOR PROJECT TYPE:�JFR-DETACHED SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br />CHANGE OF USE? NO ❑ YES, FROM TO <br />NEW WATER / SEWER SERVICE NEEDED? NO ❑ YES, TYPE SIZE <br />SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br />EscRiPTioN oF woRK: L..��K�1C�iC � (�C � ; �� � ��� 'i ��'4�1 1`�l-'� a ;� (�- <br />❑ FENCE IN ROW <br />� <br />� r �� r �ti � � ����1: �;-� 1 r v �; ��l l: � . �� ;�� � `1-�� � 1,'� <�. <br />FT IN HEIGHT <br />❑ DRIVEWAY APRON / CURB CUT FT WIDE <br />�"---.�. <br />�ASPHALT / ONCRETE AVING ��j SF <br />�RETAINING WALL / ROCKERY IN RIGHT-OF-WAY �(� � LF ,3Z��/Y�}� ff�/4%tT <br />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />�CLEARING / GRADING I FILL / EXCAVATE �'e�-f,j -{�/�ay� v�� CY <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) LF <br />❑ CUT/BORE IN PAVEMENT (NON-PARALLEL) LF <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. 1 am the owner, or l am authorized by the owner of this property to <br />perform the work for which applrcation 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 />PW����-c�E� <br />Il� <br />