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NFIF�--ARLIC WORKS PERMIT T10i <br /> CITY OF EVERETT PERMIT SERVICEc; <br /> 3200 CEDAR STREET, EVERETT, WA 08209 <br /> (P) 425.-257-8810 FAX 425-257-8857 I (E) everOtt s(,�))ev r ttwl,gOv I wvAAt.ov rettw i.govj'p,,,i n its <br /> PROJECT SITE INFORMATION <br /> PROJECTADDRESS: 5908 Larimer Rd Everett,WA 98208 <br /> IF APPLICABLE: ❑ LANG USE PROJEC"I.#(SEPA, PRE-API',SS: ETC.) �_..__......_............_ _. ._..._.......................... <br /> SITE WORK FOR PROJECT TYPE:ff5 R-DETAU-Is C) .❑SFR-ATTACHED ❑DUPLEX ❑MULTI-I AMILY I_1COfOMERC;IAL [1ENDL)STRIAL <br /> CHANGE OF USE"? 11 NO ❑YES, FROM _.. <br /> ... TO_._......... _.... .. .....__.._ <br /> NEW WATER#SEWER SERVICE NEEDED? N'NO El YES,TYPE ..................__.... _._-_._................SIZE <br /> SITE WORK 1 RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Maintenance of Roadway Ditch located on North side of driveway up to end of 5908 property line. <br /> Install a 4"drain pipe and properly tiered garden rock walls(all under 4 feet tall)in back hillside behind home.Tie in property owner's new <br /> drain pipe into existing 4"drain pipe which has been confirmed to drain off into North side of driveway ditch to flow int8 culvert unde11 r drive. <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> 1 DRIVEWAY APRON 1CURB CUT FT WIDE <br /> ❑ASPHALT 1 CONCRETE PAVING SF <br /> ❑RETAINING WALL#ROCKERY IN RIGHT-OF-WAY LF . <br /> ❑ RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> ❑ CLEARING#GRADING l FILL/EXCAVATE CY I <br /> • CUT/BORE IN PAVEMENT(PARALLEL, LF I <br /> CI C UT'BORF IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> E <br /> E <br /> OWNER NAME. Bill Goldwyn <br /> OWNER MAILING ADDRESS: .; 5908 Larimer Road <br /> Off. Everett srA,,a WA ilp 98208 <br /> OWNER PHONE: 425-257-3294 OWNER EMAIL; siramazing.g8@gmail.com <br /> ------------- <br /> APPLICANT NAME: UnitedGeneralContractors.net,LLC _ <br /> APPLICANT MAILING ADDRESS: s- ti- 8825 34th Ave NE#L-384 <br /> CnI, Marysville s-AT Wa zP 98271 <br /> APPLICANT PHONE: 425-248-1111 1APPLICANT EMAIL: dispatch@unitedgeneralcontractors.net <br /> PRIMARY CONTACT: ❑ OWNER IN APPLICANT ❑OTHER(Architect, Engineer, Etcq, ....... ... ........ <br /> CONTACT NAME>Bryan Fosmark CONTACT PHONE: 425-530-7552 <br /> CONTACT EMAIL: bryan@unitedgeneralcontractors.net <br /> At;KNOL1r'LED ryEDWE if:1 r, ter vii ec this pp?ica;irx;and ccnfirin the information conta fined herein is true and cor ec:?. Y rk ctor;e pu?suur,t t ti=: t s it;.. <br /> carnply watt:cufrer=t lederai state,and local lacy, The granting of a permit only authorizes approved work and no Wev#ar?ien:;thcrefrorn. Deu(afiatts tnusi firs,be <br /> authorized in from the Suudhng Official be,cr€,being aufhori7ed under any circ urnstance. 1 am the owner,or I am authorized by the owner of this prop&fly to <br /> perfcrro the i c„,: f.h appifcatic,r is made,and t comply✓ith rhe State Conttactors Law;8.27 RC W and 296.200A WAG. <br /> City rpt t veleft Official Use-Only <br /> PFRIMIT 4w <br /> PVV <br /> 4-18-16 <br /> t)j, ,;iized Agent Signature t)ata (Pe vis ed, 1 015) <br />