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P 3LIC WORKS PERMIT �PLICATION <br /> CITY OF EVERETT PERMtT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECTADDRESS: 1913- 78TH PL. SE EVERETT 98204 LOT 14 <br /> IF APPUCABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE:�SFR-DETACHED �SFR-ATfACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? � NO ❑YES, FROM TO <br /> NEW WATERlSEWER SERVICE NEEDED � NO �]YFS TYPE 6 INCH SIDE SEWER SIZE 1 INCH METER <br /> SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: <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) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: �PINE HEIGHTS LLC <br /> OWNER MAILING ADDRESS: sr�EE7120 SW EVERETT MALL WAY SUITE 100 <br /> aTr EVERETT ST:1TE WA zir 98204 <br /> OWNERPHONE: 360-953-2800 OWNEREMAIL: �W.SEAPACHOMES.COM <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS: �r�r�r 120 SW EVERETT MALL WAY SUITE 100 <br /> cirv EVERETT ,T.a;F WA ziP 98204 <br /> APPLIGANTPHONE:360-953-2800 APPLICANTEMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: ❑ OWNER $7 APPLICANT ❑OTHER(Architect, Engine�.r, Etc.)_ <br /> CONTACTNAME: STEVE SNYDER CONTACTPHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> ACKNOWLEDGE-MENT:l have reviewed thrs application and confirm the rnformation contarned her2in is true and correct. Work done pursuant to ihis permit must <br /> comply with current federal, stafe,and local law. The granting of a pennit only authonzes approved work and no deviatrons iherefrom.Deviations must first be <br /> authorized in writing from the Bui/ding Official before being authorized under any circumstance.I arn the owner,or I am authorized by the owner of this property to <br /> perform the work for�vhich application is made,and I comply with the State Contraclors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett ONicia!Use Only <br /> PERMIT# <br /> 3-4-16 � V V 1 ��� ' �� � <br /> OwnerlAuthori d Ayent Signature Date (Revised 10/92/2015J <br />