1205 CRAFTSMAN WAY PORT OF EVERETT 2022-01-13

LIC WORKS PERMIT A4ferr IPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 f P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits (r /L�J ',A' { --f' t444't'PROJECT SITE INFORMATION PROJECT ADDRESS: "rrom 1010 14th St. to 1520 W Marine View Dr., Everett, WA 98201 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPjkEX EMULTI-FAMILY COMMERCIAL ❑INDUU"�STTRIAL IF APPLICABLE: ID LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) Link It •S-YhY JihL ft' �S�7TTI mi'- . 1-011 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: ❑ 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 0 CLEARING/GRADING/FILL/EXCAVATE 50 CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF ❑ POLE WORK/AERIAL/OVERLASH LF ADDITIONAL DESCRIPTION(AS NEEDED): Thi4 /A prednealy. 4.I1 uJ-axt,64' Coz -ructdon �jdl SO frrt u: q�� fejure a above . 7 'Ti?�n�.n M � /. �1 r f f /k) /�n 1 ;n,,4.19.n .-6,ter,! you.. CONTACT INFORMATION OWNER/APPLICANT NAME: Port of Everett OWNER/APP. MAILING ADDRESS: STREET 1205 Craftsman Way,Suite 200 cm, Everett STATE WA z,P 98201 OWNER/APP. PHONE: 425-259-3164 OWNER/APP.EMAIL: CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Gd'OWNER /APPLICANT 0 CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-388-0613 Brandon Whitaker CONTACT EMAIL: bwhitaker@portofeverett.corn 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/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# --aicre ter-raf. FM MAT CIF Everzer7- t-z—r P W I U c 0O Owner/Authorized Agent Signature Date (Revised 1/52017)