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4%-f./14E77" PUBLIC WORKS PERMIT APLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa,gov I www.everettvua.gov/perrnits` <br /> PROJECT SITE INFORMATION - <br /> PROJECT ADDRESS: 1901-78TH PL SE SE EVERETT 98204 LOT 19 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED IMSFR-ATTACHED DDUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? I2g NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED 0 NO 7 YES TypE 6 INCH SIDE SEWERSIZE 1 INCH METER <br /> SITE WORK/RIGHT-OF-WAY APPLICATION`INFORMATION <br /> DESCRIPTION OF WORK: <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> Q DRIVEWAY APRON/CURB CUT FT WIDE <br /> D ASPHALT/CONCRETE PAVING SF <br /> O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> D 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: sTREEr120 SW EVERETT MALL WAY SUITE 100 <br /> cnv EVERETT STATE WA zip 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL: WWW.SEAPACHOMES.COM <br /> APPLICANT NAME:SEA PAC HOMES <br /> APPLICANT MAILING ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> crry EVERETT STATE WA zip 98204 <br /> APPLICANT PHONE:360-953-2800 APPLICANT EMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: 0 OWNER El APPLICANT 0 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 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./am the owner,or l 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#PE <br /> 4-5-16 t y V I 18 t2-- 02_0 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />