3312 WETMORE AVE 2020-06-03 - Laserfiche WebLink

OLT . P=LIC WORKS PERMIT A PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3312 Wetmore Ave SITE WORK FOR PROJECT TYPE: ['SFR-DETACHED ❑TOWNHOUSE ['DUPLEX ❑ADU ['MULTI-FAMILY ['COMMERCIAL ['INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK 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 25 FT WIDE ✓❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING SF El Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF El Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: El CLEARING/GRADING/FILL/EXCAVATE CY ✓❑ MR2 Only Cl MR1-5 ❑ MRI-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:125 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced:125 SF Install driveway apron and ADA compliant ramps in sidewalk to access existing paved area CONTACT INFORMATION OWNER/APPLICANT NAME:Joana Willingham/Sundiata Real Estate Holdings LLC OWNER/APP. MAILING ADDRESS: STREET18714 Ross Road CITY Bothell STATE "',n, A ZIP 98011 OWNER/APP. PHONE:425-273-6386 OWNER/APP. EMAIL:sUndiata.11c@hotmail.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ✓❑ OWNER /APPLICANT ❑ CONTRACTOR El OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-273-6386 Joana Willingham CONTACT EMAIL:sundiata.Ilc©hotmail.Com 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. 1 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 /c g �'� C PPRWMIT #1903-031 Ow erlAuthoAgent Signature 1\11 �i � jDate ) 5 /&°J (Revised 1/72019)