3416 24TH ST 2021-07-13 - Laserfiche WebLink

• . PtBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3416 24th Street Everett,WA 98201 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ['COMMERCIAL [INDUSTRIAL IF APPLICABLE: ❑ 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 I RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: El DRIVEWAY APRON/CURB CUT FT WIDE E Combined Sewer ❑ASPHALT/CONCRETE PAVING SF El Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 52 LF ❑Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑MR2 Only ❑ MR1-5 ❑MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced. SF Concrete retaining wall not to exceed 22' x 15' and 1' high. Will be 14' from edge of road. CONTACT INFORMATION OWNER/APPLICANT NAME: Stacy Rice OWNER/APP. MAILING ADDRESS: STREET 3416 24th Street CITY Everett STATE WA ZIP 98201 OWNER I APP.PHONE: 360-927-6765 OWNER/APP.EMAIL: stacy_rice@comcast.net 'Required for Work in Public Right-of-WayCO.)51, CONTRACTOR NAME"--13-r Y V �^ COrpej CONTRACTOR ADDRESS: STREET24119 7th Ave, NW CITY Stanwood STATE WA ZIP 98292 CONTRACTOR PHONE: 360-303-0021 CONTRACTOR EMAIL: tank1064@gmail.com CONTRACTOR LICENSE#(REQUIRED): UPPEREG86806 EVERETT BUSINESS LICENSE#(REQUIRED): (Q 4-7 PRIMARY CONTACT: (]OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect.Engineer,Etc.) CONTACT NAME: CONTACT PHONE:360-927-6765 Stacy Rice CONTACT EMAIL:stacy_rice@comcast.net 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 lam 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# ja �c�. 10-07-20 PW ZO(O - .5( Owner/Authorized A t Signature Date (Revised 1/72019)