2408 VIEWCREST AVE 2020-07-02 - Laserfiche WebLink

Elm PI_ LIC WORKS PERMIT I PLICATION n. CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits . RO ECT.SITE'INFORMATION. . .,. PROJECT ADDRESS: _140 Vi e J eS lie SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY OCOMMERCIAL DINDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) DESCRIPTION OF SITE'WORK I 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 FT WIDE 0 Combined Sewer ❑ASPHALT/CONCRETE PAVING SF 0 Separated Storm Sewer O 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 0 MR2 Only 0 MR1-5 0 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 CONTACT INFORMATION. OWNER/APPLICANT NAME: M M'r•k 4....J K.Ai-wbv 3 OWNER/APP. MAILING ADDRESS: STREET 2. 40 16 V%c_w C¢.:. S"r ' +- CITY C-'yam. j STATE yet .-3,-- ZIP J g Lc::� OWNER/APP. PHONE: OWNER/APP. EMAIL: `Required for Work in PublicR' ht-ol-Way CONTRACTOR NAME: VljreG.1l c1 r CONTRACTOR ADDRESS: STREET 33O ) L%-H I e e SQ J4 IA � CITY �/ STATE 1 ZIP CONTRACTOR PHONE:L5 5 l(0'" 73 l L CONTRACTOR EMAIL:Coda&J?Cea� K:Loo.Cool. CONTRACTOR LICENSE#(REQUIRED) Pkr,4 CL47 [OEVERETT BUSINESS LI ENSE#(REQUIRED) PRIMARY CONTACT: 0 OWNER /APPLICANT b CONTRACTOR 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.I am the owner, or I am authorized by the owner of this property to perform the work for whic lication is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 46 6z_!� < <//[(Vil PW rjII - o21 Owner/Authorized Agent Signature Date (Revised 4/15/2019)