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'IP' <br /> LIC WORKS PERMI i PLICATIOI <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.everettwagov/permits <br /> PROJECT:SITE INFORMATION <br /> PROJECT ADDRESS: 7802 19TH DR SE EVERETT 98204 LOT 20 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:CISFR-DETACHEDI ISFR-ATTACHED ODUPLEX CIMULTI-FAMILY OCOMMERCIAL [(INDUSTRIAL <br /> CHANGE OF USE? IN NO CI YES, FROM TO <br /> NEW WATER/SEWER'SERVICE NEEDED 0 NO fn YES TYPE 6 INCH SIDE SEWER SIZE 1 INCH METER <br /> SITE WORK I RIGHT OF WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: <br /> ©FENCE IN ROW FT IN HEIGHT <br /> O DRIVEWAY APRON/CURB CUT FT WIDE <br /> 0 ASPHALT I CONCRETE PAVING SF <br /> O RETAINING WALL I ROCKERY IN RIGHT-OF-WAY LF <br /> O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> O CLEARING/GRADING/FILL/EXCAVATE CY <br /> O CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> CI CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC <br /> OWNER MAILING ADDRESS: srREEr120 SW EVERETT MALL WAY SUITE 100 <br /> crry EVERETT STATE WA ap 98204 <br /> OWNER PHONE 360 9 53 2800 TOWNER EMAIL: WWW SEAPACHOMES.COM <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS: srREET 120 SW EVERETT MALL WAY SUITE 100 <br /> cm' EVERETT STATE WA ZIP 98204 <br /> APPLICANT PHONE:360-953-2800 APPLICANTEMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: E(OWNER II APPLICANT O OTHER(Architect,Engineer,Etc.); <br /> CONTACT NAME.STEVE SNYDER CONTACT PHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S®SEAPACHOMES.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 /> PW ttp la-ni-1 <br /> Owner/Authorized Agent Signature, Date (Revised 10/12/2015) <br />