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4E77 PA411LIC WORKS PERMIT ALICATION <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 wivw.everettwagov/permits <br /> PROJECT SITE INFORMATION -PROJECT ADDRESS:ADDRESS: 1903-78TH PL SE SE EVERETT 98204 LOT 18 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:EISFR-DETACHED ElSFR-ATTACHED E1DUFLEX El MULTI-FAMILY OCOMMERCIAL DINDUSTRIAL <br /> CHANGE OF USE? EI NO El YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED 0 NO n YES TypE 6 INCH SIDE SEWER SIZE 1 INCH METER <br /> SITE WORK I RIGHT-OF-WAY APPIrIOATIOKINOORMAT(Ok <br /> DESCRIPTION OF WORK: <br /> D FENCE IN ROW FT IN HEIGHT <br /> 0 DRIVEWAY APRON/CURB CUT FT WIDE <br /> El ASPHALT/CONCRETE PAVING SF <br /> D RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> D RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING I GRADING/FILL!EXCAVATE CY <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC <br /> OWNER MAILING ADDRESS: s1BEEr120 SW EVERETT MALL WAY SUITE 100 <br /> crry 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: arREET 120 SW EVERETT MALL WAY SUITE 100 <br /> crry EVERETTSTATE WA ZIP 98204 <br /> APPLICANT PHONE:360-953-2800 APPLICANT EMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: 0 OWNER ri APPLICANT El OTHER(Architect,Engineer,Etc.) <br /> CONTACT NAME:STEVE SNYDER <br /> 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!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 /> 4-5-16 PW \lpfl-s- D/6 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />