2320 RAILWAY AVE INTERWEST CONSTRUCTION INC 2023-06-12

LIC WORKS PERMIT *ALICATION 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: 2320 Railway Avenue, Everett, WA 98201 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI -FAMILY ❑COMMERCIAL OINDUSTRIAL IF APPLICABLE: X LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) SEPA 18-005 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 CLEARING / GRADING / FILL / EXCAVATE 43,403 CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): CONTACT INFORMATION OWNER /APPLICANT NAME: InterweSt Construction, Inc. OWNER I APP. MAILING ADDRESS: STREET 609 North Hill Boulevard c,Tv Burlington STATE WA zip 98223 OWNER I APP. PHONE: (360) 899-9628 OWNER / APP, EMAIL: RO Swihart Interwest.biz CONTRACTOR NAME: Interwest Construction, Inc. CONTRACTOR ADDRESS: STREEr 609 North Hill Boulevard c,Tv Burlington STATE WA zip 98223 CONTRACTOR PHONE: (360) 899-9628 CONTRACTOR EMAIL: RoySWlhart@Interwest.biz CONTRACTOR LICENSE #(REQUIRED): CC INTERC1121 OF EVERETT BUSINESS LICENSE #(REQUIRED): 036377 PRIMARY CONTACT: if OWNER / APPLICANT ❑ CONTRACTOR ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: Roy Swihart CONTACT PHONE: (360) 899-9628 Cell: (360) 661-5518 CONTACT EMAIL: RoySwihart@Interwest.biz 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the Stale Contractors Law 18.27 RCW and 296.200A WAG, City of Everett Official Use Only PERMIT # PW I�_�y,� (Revised 1152017)