4935 SEAVIEW WAY 2022-03-02 - Laserfiche WebLink

• OLT PUBLIC WORKS PERMIT APPLICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: y 935 sgA V(ay.) WA Y IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ®SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY OCOMMERCIAL El INDUSTRIAL CHANGE OF USE? ® NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? lit NO 0 YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: T\1 �) (� p l^��N� w/�(,(, )(1 ENP(AJ4 Q, w, NGw A0(v 44-Y PDvAmy ❑ FENCE IN ROW FT IN HEIGHT DRIVEWAY APRON/CURB CUT FT WIDE 01 ASPHALT/CONCRETE PAVING SF ip RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: 4.4.911 (A--Sc-J -7 O OWNER MAILING ADDRESS: STREET 11 ( (l`j (,4A) J€- ln.Ay N� (�S'� A � ��yy CITY (;(�/l.(,GVO STATE wA �+ ZIP OWNER PHONE: Ir,F�6, '5-7q ��601 OWNER EMAIL: SW y CGA�'N C,iz,0 f--44. r, Goh APPLICANT NAME: /\LI. APPLICANT MAILING ADDRESS: STREET ((o (79 t-`{- >�• CITY <LLl) .L(n,{4— STATE WA ZIP APPLICANT PHONE: 7 L f 3 Z— (( (( APPLICANT EMAIL: pr • K YA/NJ 3)t5 C D M PRIMARY CONTACT: ❑OWNER iI APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ACKNOWLEDGEMENT:1 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# tiA PW 1 OSJPOf Owner/Authoriz Agent Signature Date (Revised 9/23/2016)