1601 FLORIDA DR 2020-12-21 - Laserfiche WebLink

P( LIC WORKS PERMIT libPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1601 FLORIDA DR IF APPLICABLE: __1 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: O SFR-DETACHED O SFR-ATTACHED O DUPLEX =MULTI-FAMILY Li COMMERCIAL CHANGE OF USE? I- 1 NO Li YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? L.I NO O YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: NEW SFR O FENCE IN ROW FT IN HEIGHT DRIVEWAY APRON/CURB CUT FT WIDE =ASPHALT/CONCRETE PAVING SF 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT O CLEARING/GRADING/FILL/EXCAVATE CY = CUT/BORE IN PAVEMENT(PARALLEL) ,.LF O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: BUSTARD CUSTOM CONSTRUCTION INC OWNER MAILING ADDRESS: STREET 13016 107TH ST NE CITY LAKE STEVENS STATE WA ZIP 98258 OWNER PHONE: (OWNER EMAIL: APPLICANT NAME: BUSTARD PAUL APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: 4258766551 APPLICANT EMAIL: BUSTARDCUSTOMCONSTRUCTIO@GMAIL.COM PRIMARY CONTACT: = OWNER O APPLICANT = OTHER(Architect, Engineer, Etc.) CONTACT NAME: BUSTARD PAUL CONTACT PHONE: 4258766551 CONTACT EMAIL: BUSTARDCUSTOMCONSTRUCTIO@GMAIL.COM 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 WAC. City of Everett Official Use Only PERMIT# PW1906-047 Authorized Agent/Owner Date (Revised 10/12/2015)