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PUBLIC WORKS PERMIT ALICATION <br /> - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3732 Smith Avenue, Everett, WA 98270 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX OMULTI-FAMILY OCOMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? 0 NO RI YES, FROM right-of-way To commercial display area <br /> NEW WATER/SEWER SERVICE NEEDED? IZI NO 0 YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: 1.) Type II landscape buffer (10' width) between freeway right-of-way & <br /> outdoor shed display area. 2.) Type III landscape buffer (10' width) between public street (Smith Ave.) & <br /> outdoor shed display area. <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: Tuff Shed do Brent Mattson, General Manager <br /> OWNER MAILING ADDRESS: STREET 17500 West Valley Highway <br /> CITY Tukwila STATE WA ZIP 98188 <br /> OWNER PHONE: 208-618-9761 OWNER EMAIL: bmattson@tuffshed.com <br /> APPLICANT NAME: Tuff Shed do Brent Mattson- General Manager <br /> APPLICANT MAILING ADDRESS: STREET 17500 West Valley Highway <br /> CITY Tukwila STATE WA ZIP 98188 <br /> APPLICANT PHONE: 208-618-9761 APPLICANT EMAIL: bmattson@tuffshed.com <br /> PRIMARY CONTACT: 0 OWNER APPLICANT 0 OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: 208-618-9761 <br /> Brent Mattson CONTACT EMAIL: bmattson@tuffshed.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.I am the owner,or I am authorized by the owner 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 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> - <br /> 8/28/2017 PW ROB 056 <br /> OwnerlAuthorl '• g t Signature Date (Revised 9/23/2016) <br />