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2410 RAILWAY AVE 2019-04-29
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2410 RAILWAY AVE 2019-04-29
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Last modified
4/29/2019 1:08:35 PM
Creation date
4/29/2019 1:08:32 PM
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Address Document
Street Name
RAILWAY AVE
Street Number
2410
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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 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I https://everettwa.gov/permits <br /> �" ��, "'��';:x��n ��r� a�`a�"�.r�-�.v.�c-��„�"'r�'�..z�s�'z �;�*- :„ � r� ,,, � „� � ,cr�� `� i`- r � r <br /> 4..':" a _`,,` .i. ;.- .,.3 i. .„ ,.' ^"t"' 1tt EC "$IT 1NI oRM, N : „p �r�,.W F3 , k iAt, ,r , <br /> PROJECT ADDRESS: 21110 Rail Avty , E ve re41-, WA q82-ot <br /> SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL I JNDUSTRIAL <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> IF APPLICABLE: 0 FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> ;< 5 000 0 .fie � � �� � � .-.' IY �i�f ��� ��"D��t�� �'-`�'��. i �'. }✓a� <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: <br /> ❑FENCE IN ROW FT IN HEIGHT <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE <br /> ❑ASPHALT/CONCRETE PAVING SF ,tet,,,,,, ;:• r._:., , ci <br /> ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF De)31_, f <br /> ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIG <br /> ❑CLEARING/GRADING/FILL/EXCAVATE CY ,1 DEC 0 7 2018 <br /> o CUT/BORE IN PAVEMENT(PARALLEL) LF CITY O F EVERETT <br /> 7A.CUT/BORE IN PAVEMENT(NON-PARALLEL) IND LF Permit Services <br /> ❑POLE WORK/AERIAL/OVERLASH LF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): <br /> Bor115 (K tO -1.6-0 t# 4k. caltrar oL*e- 'fro Va-f'oa-r 441s pleuot ed. vet.*i' z <br /> SerV i c,t 4.1 tot.44110A U <br /> OWNER/APPLICANT NAME: M 1Q 1 l G rfAA. Ivi,G• <br /> OWNER/APP. MAILING ADDRESS: STREET p0 Box 414240 <br /> CITY TVAAlte• STATE wA ZIP el8HN8 <br /> OWNER/APP.PHONE (52.53)534 (1400 OWNER/APP EMAIL LE*R.C1-112 1.116 111 6RDU P 0(.1 <br /> CONTRACTOR NAME: Hoti- 5 e.r"V1 ces INIL. <br /> CONTRACTOR ADDRESS: STREET t06 2.1 Todd R.A. E. <br /> CITY E `J weood STATE WA ziPg83' a <br /> CONTRACTOR PHONE: ('253)604— gal'8 CONTRACTOR EMAIL: SLIPPOate I}cLTSCIZVILES]IVC,t.o►'l <br /> CONTRACTOR LICENSE#(REQUIRED): HOLTSS I 8618 3-0-4 IEVERETT BUSINESS LICENSE#(REQUIRED):S2 7-6 3 <br /> PRIMARY CONTACT: rir OWNER /APPLICANT 0 CONTRACTOR 0 OTHER(Architect,Engineer,Etc.) <br /> CONTACT NAME: LowrciA CONTACT PHONE:(34U)G1,1 — SN 6 S <br /> CONTACT EMAIL: LFjURCH@ 14ICaIS1CCR..OUP, COM <br /> ACKNOWLEDGEMENT:I have reviewed this application and confine 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> t7.11/is.IPW I 0091 <br /> Ow r/Authorized Agent Signature Date (Revised 1/52017) <br />
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