7702 RAINIER DR 2022-04-05 - Laserfiche WebLink

4IETT PUBLI C IC 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: 7702 Rainier Drive IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: ,aSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX El MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 21 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE water/sewer extension SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: 2 lot sort plat on 0.45 acres with frontage improvements ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE 12 ASPHALT/CONCRETE PAVING 1,000 SF SeOlAJ83 P LW d ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 1-1-38JAJ JO Ail 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIG LIR L 8 d ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF 3 A rr�` k r.�_.L ❑ z .CUT/BORE IN PAVEMENT(NON-PARALLEL) LF • , CONTACT INFORMATION OWNER NAME: David Brossard & Rodney York OWNER MAILING ADDRESS: STREET 2401 W Mukilteo BLVD c,T,- Everett STATE WA ZIP 98203 OWNER PHONE: 425-754-1973 OWNER EMAIL: APPLICANT NAME: David Brossard & Rodney York APPLICANT MAILING ADDRESS: STREET 2401 W Mukilteo BLVD c,Ty Everett STATE WA ZIP 98203 APPLICANT PHONE:425-754-1973 APPLICANT EMAIL: PRIMARY CONTACT: ❑OWNER ❑APPLICANT 42 OTHER(Architect, Engineer, Etc.) Agent/Planner CONTACT NAME: CONTACT PHONE: 425-258-4438 Ry McDuffy CONTACT EMAIL: ry@orcalsi.com 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# PW * 7 Owner/Authorize Agent Signature Date (Revised 9/23/2016)