3317 WETMORE AVE BASE FILE 2020-05-21

PLIC WORKS PERMIT LICATION vs, .fieWCITY OF EVERETT PERMIT SERVICES I-1' warnowc fit/6 3200 CEDAR STREET, EVERETT, WA 98201 81 =U N fis MA, $-z 414560 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 75S \ \Aye Lr MO t Av c of 823 1 `rvA IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK/ RIGHT-OP-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: �'C� hie--- pop, e7 o FENCE IN ROW FT IN HEIGHT 011,o5-o0 ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF \ D5-01 9 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMAT ION OWNER NAME: 3 Q$RPT f 1 I '/ C N.)01-0) OWNER MAILING ADDRESS:' STREET C S� _ I CITY K 1 RY( STATE w A ZIP 01 2,0 33 'Z OWNER PHONE: O4 "Z--(Z.:1 9 6::5 OWNER EMAIL: 8 1\1O S' R, AT &'t t &CA t l T (CYVN APPLICANT NAME: ,.. a 1\-S A-aAlks- APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: '`OWNER 'APPLICANT ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: Owe MAtfai )/ 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.I am the owner,or l 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# „/V S _ - k-1 PWI1b5 - 07)4 Owner/Authorized Agent Signature Date (Revised 10/12/2015)