310 OLYMPIC BLVD 2020-06-05 - Laserfiche WebLink

44-77. F BLIC WORKS PERMIT '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.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:310 OLYMPIC BLVD IF APPLICABLE: O LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: O SFR-DETACHED O SFR-ATTACHED O DUPLEX LA MULTI-FAMILY O COMMERCIAL CHANGE OF USE? O NO i i YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? C7 NO CI YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: ADD AN ADDITION, EXPAND KITCHEN & MASTER BATH FENCE IN ROW FT IN HEIGHT LJ DRIVEWAY APRON/CURB CUT FT WIDE ASPHALT/CONCRETE PAVING SF RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT O CLEARING/GRADING/FILL/EXCAVATE CY 0 CUT/BORE IN PAVEMENT(PARALLEL) LF LI CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: STUMPF MARK A& ELIZABETH M TRUST OWNER MAILING ADDRESS: STREET 310 OLYMPIC BLVD cm EVERETT STATE WA ZIP 98203-1913 OWNER PHONE: (OWNER EMAIL: APPLICANT NAME: STUMPF MARK APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: 4253198217 IAPPLICANT EMAIL: PRIMARY CONTACT: O OWNER C-1 APPLICANT CI OTHER(Architect, Engineer, Etc.) CONTACT NAME: STUMPF MARK CONTACT PHONE:4253198217 CONTACT EMAIL: abodecontracting@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. 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# PW1903-043 Authorized Agent/Owner Date (Revised 10/12/2015)