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PUBLIC WORKS PERMIT APPLICATION <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 <br /> PROJECT SITE INFORMATION <br /> PRo�ec-r a,��Ress: 1210 West Marine View Drive <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL �INDUSTRIAL <br /> CHANGE OF USE? �NO ❑YES, FROM TO <br /> NEW WATER!SEWER SERVICE NEEDED? 0 NO ❑YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Demolish, relocate and connect sanitary sewer line(force main cleanouts to be salvaged and reused). <br /> Natural gas line to be capped by PSE; contractor to remove underground line after capping both ends at demo limits. <br /> Coordinate with City Water Dept. to fire hydrant per Everett Fire Dept. request. Remove th�ee private parking lot light poles. <br /> ❑ FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE <br /> �ASPHALT/CONCRETE PAVING 647 SF <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> �CLEARING/GRADING/FILL/EXCAVATE 399.4 CY <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> owNeR NAnne: Port of Everett <br /> OWNER MAILING ADDRESS: srREET 1205 Craftsman Way, Suite 200 <br /> �,T,. Everett STATE WA Z,P 98201 <br /> owNER PHONE: 425-259-3164 OWNER EMAIL: <br /> APPLICANT NAME: POI"t Of EVef2tt <br /> APPLICANT MAILING ADDRESS: srREET same as above <br /> CITY STATE ZIP <br /> APPLICANT PHONE: APPLICANT EMAIL: <br /> PRIMARY CONTACT: �OWNER ❑APPLICANT ❑OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: 425-388-0613 <br /> Brandon Whitaker CONTACT EMAIL: bWhltak@f ortofeverett.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 /> 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 6efore 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 OKicial Use Only <br /> PERMIT# <br /> ����, ����,�� �o-«-�� PW ��-��@03� <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />