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OFIETT L C WORKS PERMIT PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps c@everettwa,gov I Www.everettwa.gov/permits' <br /> ,PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1907-78TH PL SE SE EVERETT 98204 LOT 16 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP, SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:DSFR-DETACHED' EISFR-ATTACHED DDUPLEX El MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? IN NO 0 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 APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: <br /> CI FENCE IN ROW FT IN HEIGHT <br /> © DRIVEWAY APRON/CURB CUT FT WIDE <br /> 0 ASPHALT/CONCRETE PAVING SF <br /> 0 RETAINING WALL I ROCKERY IN RIGHT-OF-WAY LF <br /> ❑RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING I GRADING/FILL/EXCAVATE CY <br /> O 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: sTREET120 SW EVERETT MALL WAY SUITE 100 <br /> CITY 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: smEEr 120 SW EVERETT MALL WAY SUITE 100 <br /> crrr EVERETT STATE WA' ZIP 98204 <br /> APPLICANT PHONE:3,6 0-953-2 8 0 0 APPLICANT EMAIL: WWW.SEAPACHOMES.COM <br /> PRIMARY CONTACT: 0 OWNER ti 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:l 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.lam 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 PE ,# <br /> 4-5-16 I V V I lX D!'1-O.2( <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />