2802 VICTOR PL 2020-06-03 - Laserfiche WebLink

PL,LIC WORKS *ERN`' II PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov1 www.everettwa.gov/permits P OJECT SITE INFORMATION�+ � C) vie/ten- PROJECT ADDRESS: G eve/Ye IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:USER-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑ NO ❑YES, FROM TO NEW WATER I SEWER SERVICE NEEDED? ❑ NO 0 YES,TYPE SIZE SITE WORK I RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: `JLde0G11 e w;A cj ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDED E 11.,, \ ' -s) ❑ASPHALT/CONCRETE PAVING SF �J ;RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF D. MAY 1 8 2018 ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CiTY YEVERETT • ❑ CLEARING/GRADING/FILL/EXCAVATE CY Permit �er\ii,'-" '" ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: elij C/r viG� " OWNER MAILING ADDRESS: STREET /9 C7 0 '5 Y-6/ AkiT, , c .�-,j5/�CIITY 2 I& �w©) STATE ZAJA ZIP �er(5�J gOWNER PHONE: 'ic,: (5)7:4 OWNER EMAIL: APPLICANT NAME: �0/../74e7r (a$ APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: ja.OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAMt /: CONTACT PHONE: � j 35 © y (N ,�✓ 0 e cc, CONTACT EMAIL: ACKNOWLEDGEMENT.I have revie' d 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 PERMIT# '4) Ail I I I. , C 05 4 0 .--/-g, FY\A/ i . e:, csr----- o 4-t Owner/Author e t Signa!re Date (Revised 10/12/2015)