1827 72ND PL SE 2020-06-15 - Laserfiche WebLink

PIIBLIC WORKS PERMIT NrLICATION CITY OF EVERETT PERMIT SES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1827 72nd pl se SITE WORK FOR PROJECT TYPE: QSFR-DETACHED ['TOWNHOUSE ❑DUPLEX ❑ADU EMULTI-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 14 FT WIDE ❑ Combined Sewer O ASPHALT/CONCRETE PAVING 518 SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑ CLEARING/GRADING/FILL/EXCAVATE CY El MR2 Only E MR1-5 ❑ MR1-9 ❑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: SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced SF Curb cut to widen driveway from 10' to 24'. Also re-sloping existing driveway to obtain proper drainage. CONTACT INFORMATION OWNER/APPLICANT NAME:Greg LaFrance OWNER/APP. MAILING ADDRESS: STREET 1827 72nd pl se CITY Everett STATE V V`A' A ZIP 98223 OWNER/APP. PHONE:(425) 314-3473 OWNER/APP. EMAIL:gregory.lafrance@kingcounty.gov *Required for Work in Public Right-of-Way CONTRACTOR NAME: Creative Concrete Finishing CONTRACTOR ADDRESS: STREET3405 172nd Avenue Northeast Suite 5 CITY Arlington STATE WA ZIP 98203 CONTRACTOR PHONE:(360) 941-6347 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):CREATCF872PB EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:(425) 314-3473 G reg LaFrance CONTACT EMAIL:gregory.lafrance@kingcounty.gov 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# Greg LaFrance Digitally signed by Greg LaFrance Date:2019.10.29 09:41:26-0700' 10-29-19 PW /I - 00 / Owner/Authorized Agent Signature Date (Revised 1/72019)