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447-1- 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 /> Alla. PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1502 SE Everett Way <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:CISFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX IJMULTI-FAMILY IC-ICOMMERCIAL ©INDUSTRIAL <br /> CHANGE OF USE? I2I NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? I I NO 0 YES,TYPE _ SIZE <br /> SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Reconfiguration of existing entries, sidewalks, loading dock, parking lot, <br /> and landscape islands. <br /> EI FENCE IN ROW FT IN HEIGHT <br /> 0 DRIVEWAY APRON 1 CURB CUT FT WIDE <br /> • <br /> ASPHALT/CONCRETE PAVING 11,200(Includes grind/overlay) SF <br /> 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING/GRADING/FILL/EXCAVATE CY <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: Floor& Decor <br /> OWNER MAILING ADDRESS: STREET 2233 Lake Park Drive,Suite 400 <br /> on' Smyra STATE GA zip 30080 <br /> OWNER PHONE: 404-471-1634 OWNER EMAIL: <br /> APPLICANT NAME: CenterPoint <br /> APPLICANT MAILING ADDRESS: STREET 355 Union Blvd-Suite 301 <br /> cnr Lakewood STATE CO zip 80226 <br /> APPLICANT PHONE: 303-679-6975 APPLICANT EMAIL: shaggerson@centerpoint-is.com <br /> PRIMARY CONTACT: 0 OWNER 0 APPLICANT jd OTHER(Architect,Engineer,Etc.) Luke Handles-RACLAND <br /> CONTACT NAME: CONTACT PHONE: (206)522-9510 x3640 <br /> CONTACT EMAIL: Irandles@pacland.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.I am the owner,ort 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 /> /Jr PERMIT# <br /> 121, (-° e PW Ig -06 <br /> Ownelauthsrized Agent is nat Date (Revised 9/23/2016) <br />