2801 BAKER AVE 2020-12-18 - Laserfiche WebLink

P•UC Wit KS PE! IT APPLICATION 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: Z 80 t reyq KE lZ Pc , G \-/f,R b"11\ \/J tl 932 o, IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? / ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? ENO 0 YES,TYPE • SIZE SITE WORK/ RIGHT-OF-WAY.APPLICATION INFORMATION _ DESCRIPTION OF WORK: c tA e S A i�-y el^Cx r teL't c.e \aY I FENCE IN ROW (2) . S FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE � 0 ASPHALT!CONCRETE PAVING SF 1-1 E t^ J &L '"j(J E ❑ RETAINING WALL!ROCKERY IN RIGHT-OF-WAY LF FEB 2 7 2018 o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIC ❑CLEARING/GRADING/FILL/EXCAVATE CY CITY OF EVERETT o CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: AA A 12T N D\ C) OWNER MAILING ADDRESS: STREET 72 6°1 nn .�-U 13 \C p fL A CITY L— V c. 1'- l T STATE W +I jL ZIP ( s2 c' 3 'OWNER PHONE Las %€-(6- -7 0M.m^^ OWNER EMAIL: M /0 , ,a(E)Ll vc..,CpM.-- APPLICANT NAME: ( 9.A vv<< 5 ow IA C "r ) 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:/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 WAC. City of Everett Official Use Only PERMIT# /��'p/-/l a bp] J PW ( �(!f o2 -V I v e/Authorized Agent Signatu Date C (Revised 10/12/2015)