9730 18TH AVE W 2020-08-28 - Laserfiche WebLink

P LC f\O KS PE IT firi ''UCATION 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.everettwa.gov/permits _ PROJECT SITE INFORMATION, PROJECT ADDRESS: Cri-3 0 1 8112- /1 Ve iAl EV/VH-1- tJ A/ 96'2-0 Ci" . IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED DSFR-ATTACHED ❑DUPLEX El MULTI-FAMILY El COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑NO 0 YES, FROM TO - NEW WATER/SEWER SERVICE NEEDED? g,NO 0 YES,TYPE SIZE SITE WORK'/ RIGHT-OF- M APPLICAT • V9ION'INFORMATION DESCRIPTION OF WORK: 171 ‘ r‘* ® . A • a + A _ A Q • lo.Y • .j3 > EX-f , erg( 41+(k v 1 c't .. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY o CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: , ) l Z ScknC OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: ii 24"r 5K- (0;66• OWNER EMAIL:J 0 ray- O 4 Le YN rr o l 6 rh APPLICANT NAME: APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: OWNER ❑APPLICANT ❑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 which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAG City of Everett Official Use Only PERMIT# WY 0// 119/16 PW 1301,-095 Owner/Authorized Agent Signature Date (Revised 10/12/2015)