543 VIEW RIDGE DR 2022-03-14 - Laserfiche WebLink

PWLIC 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 ?i3O�.lECTSITEINFORNIATION 'w PROJECT ADDRESS: V IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED NSFR-ATTACHED ❑DUPLEX ❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? WNO ❑ YES, FROM TO NEW WATER / SEWER SERVICE NEEDED? ❑ NO IXYES, TYPE C4-CA ' SIZE SITE WORK 1 RICH x KrTOF WAY APPLICATION INFORMATION .,.L� . DESCRIPTION OF WORK: ❑ 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 ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE 1N PAVEMENT (NON -PARALLEL) LF CONTACT INFORMATION . OWNER NAME: Mp 3L OWNER MAILING ADDRESS: STREET I. ��(� /� Znja1/P CITY OOWNER PHONE: NAME: _'SApe\,g' AC< MAILING ADDRESS: STREET OWNER EMAIL: STATE ZIP CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ APPLICANT .OTHER (Architect, Engineer, Etc.) CONTACT NAME: /� �c e 1 ®(� CONTACT PHONE: Liel5 -- 501— l53 �! U� CONTACT EMAIL: ACKNOWLEDGEMENT., I have reviewed this application and connim me rnrormarnon canramua neie n Is uue dnu cv„cu,. 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. 1 am the owner, or 1 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 # IPW/603—obok Ownwhahorized Agent Signature Date (Revised 1011212015)