1409 126TH ST SE 2021-12-23 - Laserfiche WebLink

IPUBLIC WORKS PERMI1PPLICATION 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:1409 126th St SE, Everett, WA 98208 SITE WORK FOR PROJECT TYPE: XSFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU EMULTI-FAMILY ['COMMERCIAL ['INDUSTRIAL IF APPLICABLE: l_^J LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)short plat in Snohomish County IF APPLICABLE: ❑ FRANCHISE/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: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: El DRIVEWAY APRON/CURB CUT _ FT WIDE ❑ Combined Sewer El ASPHALT/CONCRETE PAVING 273 (on-site) SF ❑✓ Separated Storm Sewer El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF El Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: El CLEARING/GRADING/FILL/EXCAVATE CY El MR2 Only El MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: El CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:273 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:273 SF Need access permit to access proposed lots 6 and 7 of short plat in Snohomish County. NE 19.5'x30' of site exist in City of R/W which is the access point for lots 6 and 7 which connect to 14th Dr. to North. CONTACT INFORMATION OWNER/APPLICANT NAME:Jesse Jarell OWNER/APP. MAILING ADDRESS: STREET 9740 Evergreen Way CITY Everett STATE WA ZIP 98204 OWNER/APP. PHONE:425-231-7304 OWNER/APP. EMAIL:jeSSej@wesi.CO *Required for Work in Public Right-of-Way CONTRACTOR NAME: Plats Plus, Inc. CONTRACTOR ADDRESS: STREET 720 Cedar Ave, Suite C CITY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE:360-657-4720 CONTRACTOR EMAIL:brendan@platsplUS.Com CONTRACTOR LICENSE#(REQUIRED):PLATSPI106B5 EVERETT BUSINESS LICENSE#(REQUIRED): 47103 PRIMARY CONTACT: ElOWNER /APPLICANT ElCONTRACTOR ✓❑OTHER(Architect, Engineer, Etc.) Engineer CONTACT NAME: CONTACT PHONE:425-231-7304 (cell) Jesse Jarrell 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#rl Jesse Jarrell,4-10-20 PW 2 V0 f 0 Ownef/Authori ed Agent Signature Date (Revised 1/72019)