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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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 W Casino Rd (Intersection of 29th Ave. W. and 94th St SW) <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) N/A <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ®INDUSTRIAL <br /> CHANGE OF USE? IXNO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? UN() ❑YES,TYPE SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Reconfigure sidewalk to improve pedestrian safety. remove existing curb, sidewalk and ramp <br /> Install ADA ramp, sidewalk, curb and gutter. Install new light pole. <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE <br /> ❑ASPHALT/CONCRETE PAVING SF D L- <br /> ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEI T DEC - 1 2017 <br /> 0 CLEARING/GRADING/FILL/EXCAVATE CY <br /> CITY OF EVERETT <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <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: 0 OWNER qAPPLICANT 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: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 before 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 Official Use Only <br /> PERMIT# <br /> Il ia/� PW1-O. k� � <br /> i <br /> Owner/Authorize Agent Signature Date (Revised 10/12/2015) <br />