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PU�C WORKS PERMIT AP�ICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 3003 W Casino Rd-Flight Line
<br /> IF APPLICABLE: I�LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) N . - a Ch
<br /> SITE WORK'FOR PROJECT TYPE:�SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMIIY ❑COMMERCIAL �IINDUSTRIAL
<br /> CHANGE OF USET �l NO ❑YES, FROM TO
<br /> NEW WATER/SEWER SERVICE NEEDED? C�NO ❑YES,TYPE SIZE
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<br /> DESCRIPTION OF WORK: Modify airplane stalls to allow ali aircraft models to utilize the stalls in a common
<br /> con iguration an center ine. e initia esign an construction ase wi e or ive
<br /> relocation, pavement removal, utility trenching and relocation of a light pole in stall 116.
<br /> ❑FENCE IN ROW FT IN HEIGHT
<br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE
<br /> ❑ASPHALT/CONCRETE PAVING � SF � ""�'�. �� �� � - �,,
<br /> . �5 7; _ ; ? ,�f i 1 � .
<br /> ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ���� " �``- t .1 s� � . , e��
<br /> ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGH �'�� ,, � � ��
<br /> ❑,CLEARING/GRADING/FILL/EXCAVATE CY -�� �•��' ��� � � '�y��"� p �,,�^'
<br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF �_ '�.9" `.�'�°` g',R����Fb
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<br /> V�.>Eg€°R�';ei ��e;3's�'i�`��;:�
<br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF �
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<br /> OWNER NAME: The Boeing Ca
<br /> OWNER MAILING ADDRESS: STREET P•O. BoX 3707, MC OH-13
<br /> c,n Seatttle srATE WA ZiP 98124-2207
<br /> OWNER PHONE: OWNER EMAIL: david.d.tyler@boeing.00171
<br /> APPLICANT NAME: same as owner
<br /> APPLICANT MAILING ADDRESS: stReer
<br /> CITY STATE ZIP
<br /> APPLICANT PHONE: APPLICANT EMAIL:
<br /> �..... . ... . . ...� _. . .x... ...__ _� _ <._.
<br /> PRIMARY CONTACT: ❑OWNER C�APPUCANT ❑OTHER(Architect, Engineer, Etc.)
<br /> CONTACT NAME: CONTACT PHONE: 425-299-1223
<br /> Shane Walker CONTACT EMAIL: shane.walker2@boeing.com
<br /> ACKNOWLEDGEMENT.�1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must
<br /> comp/y with current federal,state,and local law. The granting of a permit on/y 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.1 am the owner,or/am authorized by fhe owner of this property to
<br /> pertorm the work for which application is made,and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> / / � ry � PW ����L� pz �
<br /> Clwner/Authorized Agent Si ature Date (Revised 10/12/2015) ���
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