2208 BAKER AVE 2020-12-18 - Laserfiche WebLink

•LIC WORKS PERMIT •LICATION 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 https://everettwa.gov/permits (� PROJECT SITE INFORMATION PROJECT ADDRESS: a0; C>0 8 A<e C &ve• lEvere -, W A 9 g20 I SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ['DUPLEX ❑MULTI-FAMILY acOMMERCIAL DINDUSTRIAL IF APPLICABLE: 0 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: FENCE IN ROWAlf y rl._ /SO y3/4 FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING / SF ta(RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 2 sell LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF ❑ POLE WORK/AERIAL/OVERLASH LF ADDITIONAL DESCRIPTION(AS NEEDED): CONTACT INFORMATION OWNER/APPLICANT NAME: VJ;r+p'r Aac1r1eL OWNER/APP. MAILING ADDRESS: STREET g C7 1 U . G+k CITY Mr)tAin# yr rnoy STATE Wit ZIP'f22.73 OWNER/APP.PHONE: O- 6cI't'I013 `_ !OWNER/APP.EMAIL: inr h 4-Orra3tiphalnut;I%Ga+vt CONTRACTOR NAME: (EAvc; s Srz,nche2,) S anC\'iet-CC arrc#e L1-C CONTRACTOR ADDRESS: STREET -763 90 pI ern FA/CS-AA STATE ws- i ZIP yx2Ose CONTRACTOR PHONE: L-t,rj-{22-S3go t CONTRACTOR EMAIL: Cnrtr re+e SOSQU YY%G, 1 i CO bv1 _ CONTRACTOR LICENSE#(REQUIRED): u ESI 6 0 L1—20 p)—'c6 I EVERETT BUSINESS LICENSE#(_REIRED): 0 S5S/3 PRIMARY CONTACT: IN OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer,Etc.) CONTACT NAME: 1 CONTACT PHONE: '?�/ 0 - g f I_ 1.I Q 72 UIC /` odrne2_ CONTACT EMAIL: uic'I-or h hn ) o m .1owiI . ro ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is tru 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# aete— , ...--4- 6— (}—j9 PW i 40co oaf Owner/Authorized Agent Signature Da a (Revised 1/52017)