1923 W MUKILTEO BLVD 2021-02-17 - Laserfiche WebLink

pi CLIC WO ® PE MIT firPILICATI4IN . . .......... ....... . .._.._. .*•.>/—/ ‘ CITY OF EVERETT PERMIT (ICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 J FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwagov/permits ak PROJECT'SIITE INFORMATION __ . T PROJECT ADDRESS: 19 a3 (A) Mokt tito 13 Ivd IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ©COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE ....-::::[.S:17:. F. ...... . .:F _ SI1WO:RN1RGHT4OF....WAY1k04TO .1..._NORM1Ard".0.g _ . ti .. _... ._. . : DESCRIPTION OF WORK: t/J WL ,..d /,e,E, .4 / Alf / 0 �/T� ki/4/Af '-hiut 6&fit) e i 1 4 -.41 ,- 1 1)0 7 Jl ,Is',i f / h A F Mi log/ FA sr -1 1,, r 4ruh I . ,1 der , J i/ BA/J)C p& - a �vd, ❑FENCE IN ROW IN HEIGHT .', z ask.6e ❑DRIVEWAY APRON/CURB CUT FT WIDE 63T S-F Gtlt;Sr ' Q ASPHALT/CONCRETE PAVING 1611q)� ) p` `/ ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY . LF • +iJ©S� IYYfP ' OA U o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF El CUT/BORE IN PAVEMENT(NON-PARALLEL) LF : .-.. CtONTACT INfORMATION. ... . . OWNER NAME: Sint p R-Gxe0-4. 81,4 OWNER MAILING ADDRESS: STREET t 2.3 (Al 14,,v,.I I," 4 .S CITY /Q I[I STATE 04 ZIP q5-203 OWNER PHONE: '-f2c=3 30- I p,(i OWNER EMAIL: ir'2-2✓--3 Th pi S i • Co t".- APPLICANT ".-APPLICANT NAME�.� .. SGI n,.e- 05 cf 4 v✓-eAPPLICANT MAILING ADDRESS: STREET CITY STATE ZIP _APPLICANT PHONE: `s, -----APPLICANT EMAIL: rn —.�.m..—-- :a,.r_ n —-- PRIMARY CONTACT: tz7-OWNER 0 APPLICANT ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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,l am 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# .A- ------- —/ —/6 PW 1606--e)cZ , Owner Aut prized Agent Signature Date (Revised 10/12/2015)