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� BLIC WORKS PERMIT PPLICATION <br /> CITY OF EVERETT PERMIT 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: 1915- 78TH PL. SE EVERETT 98204 LOT 13 <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)_ <br /> SITE WORK FOR PROJECT TYPE:�SFR-oETacHEo �SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? 1� NO ❑YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED � N� �I YES TYPE 6 INCH SIDE SEWEFt 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/GRADlNG/FILL/EXCAVATE CY <br /> ❑ CUTlBORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC <br /> OWNER MAILING ADDRESS: sTR�_F?120 SW EVERETT MALL WAY SUITE 100 <br /> arv EVERETT STATE W� �i� 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL: WWW.SEAPACHOMES.CC)M <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS sr�z��e, 120 SW EVERETT MALL WAY SUITE 100 <br /> ci� EVERETT sr,are wA z�= 98204 <br /> APPUCANT PHONE:360-953-2800 APPLfCANT EMAIL: WWW.SEAPACHOMES..COM <br /> PRIMARY CONTACT: ❑OWNER �APPLICANT ❑ OTHER(Architect, Engineer, Etc.) __ _ <br /> CONTACTNAME: STEVE SNYDER CONTACTPHUNE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> ACKNOWLL-DGEMENT.�!have reviev.�ed this applrcation and confirm the rnformatron contained her2in is true rmd correct. Work done pursuant to this peirnii musf <br /> comply Niifh current federal, state,and local law. The granting of a pennit only authorizes approved work and no deviatron:>therefrom.Deviations must frrst be <br /> authorized in writinq from the Building Official before being authorired under any crrcumstance. l am the owner,or I am authorized by the owner of this properfy to <br /> perforrn the work for which application is made,and 1 comply with fhe Stafe Cont�aciors Law 18.27 RCW and 296.200A WAC. <br /> Cify of Everett Officia!Use Only <br /> PERMIT#� <br /> 3-4-16 PW i [��3 -a�� <br /> OwnerlAuthorized ent Signature Da;e (Revised 10/12/Z015J <br />