824 66TH PL SE 2020-06-18 - Laserfiche WebLink

elr'.0isiv,..../.7.4-i PUIPLIC WORKS IT ALPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwagov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: gjp`L'4 (04,7-4 -7c..- 54, VG72..Sr'r-r c'e 2.0 3 IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED rif.DUPLEX El MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? NINO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? tiLNO 0 YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATIQN DESCRIPTION OF WORK: PA✓'a✓'eJ 1 i.s 730-7-1.0- pier/0-S A+u© /PaS Tom'Lt-.NSA Z. --X/3tf DI A i to aC-,r 2 t P6- 6►2- 'Dom 1J Sp,...5 i Zer.tfl/tis/N'fj w AAA._ Hca- ISA-C.W.- bg P17-0 p g-R:i y ( T4i . SEE PLP-N, b0?,c 1N=4-P81Jrs `Ia SPCI48'11 &Leeks Ric ifAVA ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE DkSPHALT/CONCRETE PAVING 1300 SF *RETAINING WALL/ROCKERY IN R C3HT-OF-WAY 214 LF _ 1114)( GI FT TOTAL HEIGHT El RETAINING WALL/ROCKERY � ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: ,1 A l„'CVQ- L,p?P OWNER MAILING ADDRESS: STREET Q."Z-4 I s .Tµ wt,L. s E CITYTY .M.110€1-\"--- M.11 C € ` STATE (J�1�_ ZIP or 1.2.--4::,� 3 OWNER PHONE: 20C- l Coe/ _ 2-43/trcik OWNER EMAIL. "F.CR-L.-07E7% s-/c"rD Gw.,a11... C-a1"--- APPLICANT NAME: SAtt-G" AS -60ww APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: E?OWNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 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.lam 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# -743A g PW Pg® --0% Owner •uthorized Agent Signature Date (Revised 10/12/2015)