215 DORN AVE 2022-01-24 - Laserfiche WebLink

477. PIOLIC WORKS PERMIT A'LICATION 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 � 1!� �- �P�ROJECT SITE INFORMATION V PROJECT ADDRESS: 215 Dorn Ave lei'11TS k,Bt C_ C3 IF APPLICABLE: pJ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) Pre-App#17-038 ----13F/notni 0 pi U, ' 6ui f06 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED (DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO vi YES, FROM Vacant To Residential NEW WATER/SEWER SERVICE NEEDED? 0 NO YES,TYPE Residential SIZE 6" SWR 1" WTR's SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: ROW Frontage improvements, Curb, Gutter & Sidewalk. S eri . nrsto puti,e c w/ -71` _ imprtw. - ❑ FENCE IN ROW FT IN HEIGHT S Q'(_' C?i, Rl DRIVEWAY APRON/CURB CUT 20 FT WIDE '' �e �/ ❑ASPHALT/CONCRETE PAVING SF * t`'"'k"' ❑ 11,1 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT l'dUC/£.- lezdhli ritt ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF kDi uA o CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: EFI Properties (Eduardo Avendano) OWNER MAILING ADDRESS: STREET 7101 Beverly Lane cny Everett STATE WA zip 98203 OWNER PHONE: 425-346-0934 OWNER EMAIL: eduardoavendano83@gmail.com APPLICANT NAME: Eduardo Avendano APPLICANT MAILING ADDRESS: STREET 7101 Beverly Lane an, Everett STATE WA ZIP 98203 APPLICANT PHONE: 425-346-0934 APPLICANT EMAIL: eduardoavendano83@gmail.com PRIMARY CONTACT: ❑OWNER ❑APPLICANT ia OTHER(Architect, Engineer, Etc.) Engineer/Project Manager CONTACT NAME: CONTACT PHONE: 425-418-1255 Nick Breske CONTACT EMAIL: nickb@donnabreske.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. 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# /?of e PW 3-- 6(LI er/Authors d Agent Signature Date (Revised 9/23/2016)