10617 ROSEWOOD AVE 2022-01-25 - Laserfiche WebLink

PLIC WORKS PERMIT A!PLICATION 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:10617 Rosewood Ave SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ✓❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) 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: ❑✓ DRIVEWAY APRON/CURB CUT 30 FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING 1740 SF ❑✓ Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE 175 cut/fill CY ❑ MR2 Only ❑ MR1-5 ✓❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:3842 SF ❑POLE WORK/AERIAL/OVERLASH _ LF Proposed Hardscape:1740 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:5582 SF site improvements for new duplex. CONTACT INFORMATION OWNER/APPLICANT NAME:Paul Kukhotskiy OWNER/APP. MAILING ADDRESS: STREET 132 116th PI cm( Everett STATE WA ZIP 98208 OWNER/APP. PHONE:425-737-7354 OWNER/APP. EMAIL:magichardwood1@gmail.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: Unknown at this time CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): ,rc(�p j PRIMARY CONTACT: ❑OWNER /APPLICANT ❑CONTRACTOR ✓❑OTHER(Architect, Engineer, Etc.) Engineer r A' CONTACT NAME: CONTACT PHONE:425-356-2700 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# PWZ1b -- 0Z7 Owner/A orized ent ignature' Date (Revised 1/72019)