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` PLIC 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 SITE INFORMATION <br /> PROJECT ADDRESS: 29051800301700 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ODUPLEX ❑MULTI-FAMILY OCOMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? ca NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? l NO 0 YES,TYPE SIZE <br /> SITE WORK I RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: The project proposes to transfer approximately 2,770 CY of material <br /> from the Waterfront Place Apartments project site to the Waterfront Place Hotel site for pre-loading. <br /> Additional pre-load material will be imported at a later time. <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 2,770 CY <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: AmWealth, LP <br /> OWNER MAILING ADDRESS: STREET 18230 East Valley Highway,Suite 195 <br /> cnv Kent STATE WA zip 98032 <br /> OWNER PHONE: (206)228-0951 OWNER EMAIL: omarplee@gmail.com <br /> APPLICANT NAME: Omar Lee <br /> APPLICANT MAILING ADDRESS: STREET 18230 East Valley Highway, Suite 195 <br /> cify Kent STATE WA ZIP 98032 <br /> APPLICANT PHONE: (206)228-0951 (APPLICANT EMAIL: omarplee@gmail.com <br /> PRIMARY CONTACT: 0 OWNER 0 APPLICANT OTHER(Architect,Engineer,Etc.) Project Engineer,CPH Consultants <br /> CONTACT NAME: CONTACT PHONE: (425)484-0948 <br /> Ryan Schauble CONTACT EMAIL: ryan@cphconsultants.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.lam the owner,or I 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 /> Ryan Schauble 7/6/2017 PW 1 O -003' <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />