3531 NORTON AVE 2022-02-23 - Laserfiche WebLink

PILIC WORKS PERMIT AILICATION CITY OF EVERETT PERMIT SERVICES h 3200 CEDAR STREET, EVERETT,WA 98201 `�' (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits `'; "` t 1. PROJECT SITE.INF 'RMATI©I11,. PROJECT ADDRESS: f-tAfj--- eClf-c Lun SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ZJUPLEX DADU ❑MULTI-FAMILY ❑COMMERCIAL DINDUSTRIAL 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•I'R1GHT t?FANAY.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 FT WIDE 0 Combined Sewer ❑ASPHALT/CONCRETE PAVING SF Ell Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 0 Direct Discharge to Snohomish River or Puget Sound ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE CY 0 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: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF GO.NT ICT:; NFtlRMATION OWNER/APPLICANT NAME: 1)c9N •j pc OWNER/APP. MAILING ADDRESS: STREET p.0. �CJ) ., c 2 3. ) CITY Ivor 1 E.Lo]C3J STATE WET/� - zIP1 OWNER/APP.PHONE: OWNER/APP.EMAIL: *Required for Work in Public Right-of-Way_ l� \CONTRACTOR NAME: &(^HMJ V► n , CONTRACTOR ADDRESS: STREET ^'0.b(.� ` c.A. 23, '•, 7�`�v7' CITY /vO1 "V1 \J LJx STATE WA- ZIPal3Z-S ` CONTRACTOR PHONE: A2S` 33o-k5a3 CONTRACTOR EMAIL: 5 ... vldit7 ( CO al CONTRACTOR LICENSE#(REQUIRED,,,b,itt44,zazia EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ,IS�OWNER /APPLICANT CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) ,CONTACT NAME: CONTACT PHONE: GbZs— 3�d�bS Z 3 -jC3(\l LAA,J CONTACT EMAIL: Sk9 t'tic)to, 0 A.L.66/1/1 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.l am the owner,or I am authorized by the owner of this property to p rm 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# V-RDja \ PW \C‘02." 01.9O er/Authorized A ent Signa e (Revised 1/72619)