4817 BAYVIEW LN 2021-12-10 - Laserfiche WebLink

El fJBLIC WORKS PERNIMPPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https-.//everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4817 Bayview Lane, Everett, WA 98203-1504 SITE WORK FOR PROJECT TYPE: ©SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY []COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) & —QZa EPPLICABLE: ElFRANCHISE/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 ROW FT IN HEIGHT ❑ DRIVEWAY APRON / CURB CUT FT WIDE ❑ ASPHALT / CONCRETE PAVING SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑✓ CLEARING / GRADING / FILL / EXCAVATE less than one Cy ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWA TER DISCHARGES TO: ❑ Combined Sewer ❑ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: SF Proposed Hardscape: SF lTotal New+ Replaced: SF Correction of a qradinq violation on a slope above Narbeck Creek in response to a Notice to Comply (CE 18-0576) issued by the citv on 7/2/18. Remove fill material (less than 1 cv): plant three trees; plant 80 shrubs per 3/13/19 Planning Director Decision. CONTACT INFORMATION OWNER / APPLICANT NAME: Adam & Fabriece Casper OWNER / APP. MAILING ADDRESS: s.REET 4817 Bayview Lane CITY Everett ;'STATE WA - ZiP-98203 OWNER / APP. PHONE: OWNER / APP. EMAIL: *Required for Work in Public Right -of -Way CONTRACTOR NAME: TBD C f L CONTRACTOR ADDRESS: STREET errnig - 1 CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ❑✓ OTHER (Architect, Engineer, Etc.) CONTACT NAME: Reid Shockey, Shockey Planning Group CONTACT PHONE: 425 258-9308 CONTACT EMAIL: rshockey@shockeyplanning.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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # i Pw i qp� ithorized Agent Signature Da a (Revised 1172019)