4800 DOGWOOD DR 2022-02-28 - Laserfiche WebLink

OLT P LIC WORKS PERMIT A PLICATION 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: 4800 DOGWOOD DRIVE IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)SPU 17-005&ESA 17-002 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY 7ICOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 71 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ❑YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: BUILDING ADDITION WITH ASSOCAITED PARKING IMPROVEMENTS acid Ls f Coll n 01,01 j_vvi.pk D FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ASPHALT/CONCRETE PAVING 600 SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE 200 CY 0 CUT/BORE IN PAVEMENT(PARALLEL) LF 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: VIEW RIDGE COMMUNITY CHURCH OWNER MAILING ADDRESS: STREET 4800 DOGWOOD DRIVE cin EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-344-3252 OWNER EMAIL: PASTORET@VRCC.TV APPLICANT NAME: SAME AS OWNER APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: 0 OWNER 0 APPLICANT 171 OTHER(Architect, Engineer, Etc.) ENGINEER CONTACT NAME: CONTACT PHONE: 425-356-2700 JESSE JARRELL, PE CONTACT EMAIL: JESSEJ@WESI.CO 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# PW Aga dc/o/ Owner/Authorized Agent Sign ure Date (Revised 9/23/2016)