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477- PLIC WORKS PERMIT ALICATION
<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 /> ; , . t' PROJECT SITS INFORMATION �, 4 yy
<br /> PROJECT ADDRESS: 3003 W Casino Rd (40-02, 40-04 bldg.compressed air and utilidor)
<br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) N/A
<br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL Zi INDUSTRIAL
<br /> CHANGE OF USE? IX NO ❑YES, FROM TO
<br /> NEW WATER/SEWER SERVICE NEEDED? IX NO ❑YES,TYPE SIZE
<br /> per' y
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<br /> DESCRIPTION OF WORK: Construct—304 LF of new utilidor and install and install 10” compressed air line pipe .
<br /> ❑ FENCE IN ROW FT IN HEIGHT
<br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE
<br /> ❑ASPHALT/CONCRETE PAVING 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 CY
<br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF
<br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF
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<br /> Q lNTA T INFOR ON
<br /> � r `ry��; T�i
<br /> ..>a,�dz �. ro,�a ,d,tfiaa.4,�v
<br /> OWNER NAME: The Boeing Co.
<br /> OWNER MAILING ADDRESS: STREET P.O. Box 3707, MC OH-13
<br /> CITY Seatttle STATE WA ZIP 98124-2207
<br /> OWNER PHONE: OWNER EMAIL:
<br /> APPLICANT NAME: same as owner
<br /> APPLICANT MAILING ADDRESS: STREET
<br /> CITY STATE ZIP
<br /> APPLICANT PHONE: APPLICANT EMAIL:
<br /> PRIMARY CONTACT: ❑OWNER aAPPLICANT 0 OTHER(Architect, Engineer, Etc.)
<br /> CONTACT NAME: CONTACT PHONE: 425-238-3768
<br /> Pete McGuire CONTACT EMAIL: peter.d.mcguire@boeing.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. 1 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 Official Use Only
<br /> PERMIT#
<br /> ner/Authorized A4ent Signature Date (Revised 10/12/2015)
<br />
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