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F �LIC WORKS PERMIT �PLICATION <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 /> PRt)JECT SITE INFORMATION <br /> PROJECTADDRESS: 1925- 78TH PL. SE EVERETT 98204 LOT 9 <br /> IF APPLIGABLE: ❑ 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 TO <br /> NEW WATER/SEWER SERVICE NEEDED � N� �7 YES 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/ROCKEf2Y 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:ALPINE HEIGHTS LLC <br /> OWNER MAILING ADDRESS: sTREET120 SW EVERETT MALL WAY SUITE 100 <br /> C!1v EVERETT sT.�i� WA Z�� 98204 <br /> OWNERPHONE: 360-953-2800 OWNEREMAIL: WWW.SEAPACHOMES.COM <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS: srR�e� 120 SW EVERETT MALL WAY SUITE 100 <br /> crn• EVERETT Si,.�;G WA 98204 <br /> �,� <br /> APPLtCANTPHONE:360-953-2800 APPLICANTEMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: ❑ OVVNER �l APPLICANT ❑ OTHER(Architect, Engineer-, Etc.)_ ___ _ <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> ACKNOWLEDGC-MENT:l have reviewed ihis application and confirm the informafivn contained herein is true and correct. Work done pursuant to this permit must <br /> comply with currenl federal,state,and local law. The graniing of a permrt only authorizes approved�.vork and no deviations fherefrom. Deviations must first be <br /> authorized in writing hom the Building Officral before being authorized under any r,ircumsfance. !am the owner,or I am authorized by the owne�of this property to <br /> perform the work for which application is made,and i comply with the State Contractors Law 18.27 RCW and 296.200� WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 3-4-16 � V V <br /> Owner/Authoriz Agent Signature Da,e (Revised 10/i2/2015J <br />