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P . PUBLIC WORKS PERMIT APPLICATION <br /> - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS:3003 W CASINO RD#45-12 <br /> IF APPLICABLE: O LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: =SFR-DETACHED OSFR-ATTACHED =DUPLEX CI MULTI-FAMILY CICOMMERCIAL <br /> CHANGE OF USE? 0 NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? 0 NO I= YES,TYPE SIZE <br /> DESCRIPTION OF WORK: CONST OF NEW EXT PUMP ROOM-BOEING <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> o DRIVEWAY APRON/CURB CUT FT WIDE <br /> =ASPHALT/CONCRETE PAVING SF <br /> 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> El CLEARING/GRADING/FILL/EXCAVATE CY <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> El CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> + *4:0gra! a A :410. 1fie,, ,�. .,...�sy r� ; � �'3�Z.` ``�X <br /> OWNER NAME: BOEING COMPANY <br /> OWNER MAILING ADDRESS: STREET POBOX 3707 MS 6A1-01 <br /> cur SEATTLE STATE WA ZIP 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> APPLICANT NAME: BOEING COMPANY <br /> APPLICANT MAILING ADDRESS: STREET <br /> ciry SEATTLE STATE WA ZIP 98124 <br /> APPLICANT PHONE: 4258762594 APPLICANT EMAIL: <br /> PRIMARY CONTACT: 0 OWNER El APPLICANT O OTHER(Architect, Engineer, Etc.) , <br /> CONTACT NAME: MCGUIRE PETE CONTACT PHONE: <br /> CONTACT EMAIL: <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 /> PW1703-021 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />