3014 46TH PL SE 2019-11-15 - Laserfiche WebLink

mil PUDIC WORKS PERMIT Al LICATION iTul CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: tiA X01`1 LIg PL se SITE WORK FOR PROJECT TYPE: gsFR-DETACHED EITOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) DESCRIPTION OF SITE'WORK`I RIGHT4F-WAY;WORK. FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: O FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 Combined Sewer 'ASPHALT/CONCRETE PAVING / 600 SF 0 Separated Storm Sewer O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LFirect Discharge to Snohomish River or Puget Sound O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑ CLEARING/GRADING/FILL/EXCAVATE CY 'MR2 Only 0 MR1-5 0 MR1-9 ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED ARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: /600 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: /600 SF or s'ysfg,ii dEvilyinEid ftE *39l,g2 CONTACT INFORMATION. OWNER/APPLICANT NAME: Y MG IA U OWNER/APP. MAILING ADDRESS: STREETS®14 46,114 It. SE CITY AV &77 STATE (Ai4- ZIP OWNER/APP PHONE: It - 6 C<c (oft n OWNER/APP EMAIL: J F $J6(f?A/( Ce,/1 *Required for Work in Public Right-of-Way f / c CONTRACTOR NAME: 1165 e. 6 FII L v (cc_ eckS1r C_TJ CONTRACTOR ADDRESS: STREET (5OS /5j' fl- S tV CITY L ynnt 1 STATE IJVf n ZIP 18O&- CONTRACTOR PHONE: 4Z5'- 74 `" SZoG CONTRACTOR EMAIL: /P0CUC4 c p)Cp,ki s%R0C%M.0 - 817 CONTRACTOR LICENSE#(REQUIRED) a.,0_,01\10_.* p 61\1'3 EVERETT BUSINESS LICENSE#(REQUIRED) 6 1 Z IC( PRIMARY•. ..��- _.. .��CQ�ER /APPLICANT_..❑CONTRACTORS.. 0 OTHER ..e- CONTACT: (Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 4Z5"—6/4 - 4,1 0 .1Att-tc- ? ecSoiJ CONTACT EMAIL: UrRAGGLSDAil )6/`telAIL. e",n ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must 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 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 perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only F--- PERMIT# PW I910-0 IDate�� ,e/Authorized Age t SI nature (Revised 4/15/2019)