4220 COLBY AVE B 2020-05-05 - Laserfiche WebLink

iiiii �✓ P LI WORKS PEIT PLICATIONk��g CITY OF EVERETT PERMIT SERVICES 6CI-Oa 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1/220 Colby AVe1we., EL °-/WA- IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE APP,SS, ETC.MY 6-O 2.-S-- SITE SSITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX .MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? XNO 0 YES, FROM TO "'el d nhi NEW WATER/SEWER SERVICE NEEDED? 0 NO YES,TYPE � Q '0( uvolifir SIZE rooms SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: 5 ITT WQxk Fox. 1/22© "OLg1 S m a ,u4 vt& F sit) o FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE iEy�� ❑ASPHALT!CONCRETE PAVING SF ;d % a.i h.d j i S*fx� z I s k'E ‘ 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY _ LFr\\ ❑RETAINING WALL!ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGH OV 2 3 2018 I ❑CLEARING/GRADING/FILL!EXCAVATE CY CITY OF EVERPT1 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF Permit ServicPs ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF C• ONTACT INFORMATION OWNER NAME: �/ W d vetime Y�`'`�� LL e OWNER MAILING ADDRESS: /STREET �g© 4t3 CITY 7.65/1 iI / _ STATE r, ZIP re Ill OWNER PHONE: .�.x. .. APPLICANT NAME: l Gd t f ' freff APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: ' APPLICANT EMAIL: ��* _�- �_,---" . PRIMARY--,. ---------..—CONTACT: ❑ OWNER ❑APPLICANT tkOTHER(Architect, Engineer,Etc.) C V' l ~ CONTACT NAME: CONTACT PHONE: I/ 5 _$q/-'2 9s Ea� al- /a CONTACT EMAIL: £aede e Q RI aim/Cem ACKNOWL`MDGEMENT.•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.lam the owner,or 1 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 PERMIT# - pW/,la -oil Owner/Authorized Agent Signature Date (Revised 10/12/2015)