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PtMLIC WORKS PERMIT A%LIGATION <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: 3015 EVERETT AVENUE <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 ❑INDUSTRIAL <br /> CHANGE OF USE? ❑ NO ®YES, FROM OFFICE TO RETAIL <br /> NEW WATER/SEWER SERVICE NEEDED? ® NO ❑ YES,TYPE SIZE <br /> SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: ADD 5'X64' TYPE III LANDSCAPING STRIP/BIO-RETENTION SYSTEM ON-SITE ALONG WALNUT <br /> STREET WITH 2 NEW TREES AND FOUR NEW SHRUBS. ADD 3 NEW TREES ALONG EVERETT AVENUE WITHIN EXISTING <br /> LANDSCAPING STRIP. <br /> ❑ FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE <br /> ❑ASPHALT/CONCRETE PAVING SF <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> ❑CLEARING/GRADING/FILL/EXCAVATE CY <br /> ®CUT/BORE IN PAVEMENT(PARALLEL) 64 LF <br /> ©CUT/BORE IN PAVEMENT(NON-PARALLEL) 5 LF <br /> CONTACT INFORMATION <br /> OWNER NAME: HOWARD BARGREEN <br /> OWNER MAILING ADDRESS: STREET 2821 RUCKER AVENUE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425-760-9336 OWNER EMAIL: hbargreen@aol.com <br /> APPLICANT NAME: BRIAN BODGE <br /> APPLICANT MAILING ADDRESS: STREET 523 61ST ST SE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> APPLICANT PHONE: 425-879-3437 APPLICANT EMAIL: brianbodge@msn.com <br /> PRIMARY CONTACT: ❑OWNER ❑APPLICANT ®OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: DONNIE STAFF CONTACT PHONE: 806-681-9885 <br /> CONTACT EMAIL: donnie.staff@gmail.com <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. 1 am the owner, or I am authorized by the owner of this property to <br /> perform the work for which application is made,and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> c <br /> up PW 1601 _012 <br /> Owner/Authorized AgeiV Signature Date (Revised 1011212015) <br />