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PLIC WORKS PERMIT ARLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5921 Lowell Road, Everett, WA 98203 <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE:PSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? 0 NO ❑YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? Q NO ❑YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Construction of a 6' privacy fence in the unopened right of way alley <br /> behind our house. Fence will be along the centerline of the alley, splitting the alley with the <br /> neighbor behind us. See attached map. <br /> V FENCE IN ROW 6 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: David Baker <br /> OWNER MAILING ADDRESS: STREET 5921 Lowell Road <br /> aTv Everett STATE WA zip 98203 <br /> OWNER PHONE: 970-817-0830OWNER EMAIL: davidbaker.ee@gmail.com <br /> APPLICANT NAME: David Baker <br /> APPLICANT MAILING ADDRESS: STREET 5921 Lowell Road <br /> ciTY Everett STATE WA zip 98203 <br /> APPLICANT PHONE: 970-817-0830 APPLICANT EMAIL: davidbaker.ee@gmail.com <br /> PRIMARY CONTACT: ;Z OWNER ❑APPLICANT ❑OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: 970-817-0830 <br /> David Baker CONTACT EMAIL: davidbaker.ee@gmall.Com <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be <br /> authorized in writing from the Building Official before being authorized under any circumstance.1 am the owner, or/am authorized by the owner of this property to <br /> perform the work for which application is made,and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />