1316 WALL ST 2020-04-02 - Laserfiche WebLink

� PIOLIC WORKS PERMIT ,POPLICATION CITY OF EVERETT PERMIT SERVICES EVE R E T T 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 ((E)everetteps@everettwa.gov I https://everettwa.gov/permits AteiNiO,',ISWAW*210444.4%#114-Vr 'Ye Y giak PROJECT ADDRESS: \2\ t 1.) .\\ .--\--- SITE SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE 0 DUPLEX DADU DMULTI-FAMILY'OMMERCIAL 0 INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) a. eta s+�s litVf'ta-ina a.' , "` D € 4 4161 iiXis " .. a Itag iktU t.- V,` FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 Combined Sewer ❑ASPHALT/CONCRETE PAVING SF 0 Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 0 Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL!ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL!EXCAVATE CY 0 MR2 Only 0 MR1-5 0 MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL'!OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF ClUe)*C Cc 'e <1 \- .- - y, �I A`ti,.y b .. �.. s t g.: ,`�T€ r -f\G .i�* ; L'��"9 r. �k+:..3{.r. ` 'his: eT :.,�, �4$"°Ay... ! tea- � A�.._ A.SS.. � �S�'ba ., .�Y�� -S!$.� � F4 ��. V E'Rl, -_ ,� . �`� OWNER/APPLICANT NAME: \?3 V)3 `\ '"--5/K- 1 C OWNER/APP. MAILING ADDRESS: STREET ,0, c,)( )go CITY `a\iAcc)‘0,K' &,e1 STATE \ ZIP gb✓'1. OWNER!APP.PHONE: 'j-U vg„9 cpt CQ OWNER I APP.EMAIL: :yke t \ANnnY �"o(Yt.(�r�-�h r *Required for Work in Public Ri ht- av N \ CONTRACTOR NAME: G'V\Nr ��))) CONTRACTOR ADDRESS: (.2 TREET 4! 1‘ CITY E rj . ' ` STATE ♦.I)N - ZIP _S CONTRACTOR PHONE: Lam-,` ._ : •, RACTOR EMAIL: \\ _ _ EVER T USINESS LICENS�L (REQUIRED• �fln 47 CONTRACTOR LICENSE#(REQUIRED): ) PRIMARY CONTACT: OWNER /APPLICANT 0 CONTRACTOR 0 OTHER(Architect, Engineer, Etc.) CONTACT AM 4 CONTACT PHONE: L, ,r (p a � CONTACT EMAIL: I' \ i 0 crI 1:�4 v ACKNOWLEDGEMENT: ave reviewed this applica on and confirm the information contain rei i true and correct. or done pursuant to this permit must comply with current f ra state,and local law. e g anting of a permit only authorizes approved k nd no deviations th- •from.Deviations must first be 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 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 A -910.1*-- PERMIT# :./. _��_ P 'ZOOZ ©7A- Owner Aut‘.1'- 'g:n •!nature ` Date (Revised 4/15/2019)