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F �LIC WORKS PERMIT �PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)A25-257-8810 � FAX 425-257-8857 � (E) everetteps a7everettwa.gov � www.everettwa.gavlpermits <br /> PROJECT SITE INFORMATION <br /> PROJEGTADDRESS: 1917- 78TH PL. SE EVERETT 98204 LOT 12 <br /> IF APPLICABLE; ❑ LAND USE PROJECT#(SEPA, PRE-APP,5S, ETC.)__._ <br /> SITE WORK FOR PROJECT TYPE:�SFR-DETACHED �IS�R-A�i-fACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? � NO ❑YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED � N� �l YCS 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 g� <br /> ❑ RETAINING WALL i 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: srr.�E?120 SW EVERETT MALL WAY SUITE 100 <br /> a-rv EVERETT STATE WA zio 98204 <br /> OWNERPHONE: 360-953-2800 OWNEREMAIL: WWW.SEAPACHOMES.COM <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS: sTReEr 120 SW EVERETT MALL WAY SUITE 100 <br /> ci�r EVERETT sr,a�G WA ziP 98204 <br /> APPLfCANT PHONE:360-953-2800 APPLICANT EMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: ❑ OWNER g]APPLICANT ❑ OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME:STEVE SNYDER CONTACT PHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> ACKNOWLEDGEMENT:/have reviewed this applicafion and ronfirtn the information ca�tained herein is true and correct. Work done pursuant to this permit must <br /> comply wifh current feaeral, state, and loca!law. The granting of a permii only aufhorizes approved work and no deviations tlierefrom. Deviations must first be <br /> authorized in writin,q from the Building O(ficial before being authorized under any circumstance. !am the owner,or/am authorir.ed by the owner of this property to <br /> perform the work for whicl7 applicatran is made,and 1 cornply with fhe State Contracio�s Law 18.27 RCW and?_96.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> � PW L � �� --�"7 � <br /> - 3-4-16 <br /> OwnerlAuthorized Age t Signature Da:e (Revrsed 10/12/2015J <br />