10632 ROSEWOOD AVE 2022-04-06 - Laserfiche WebLink

u, aUBLIC WORKS PERMITOPPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 wasMiNaroN (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT ADDRESS:10632 Rosewood Ave, Evereettt, 9, W8 04TE INFORMATION SITE WORK FOR PROJECT TYPE: i]SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX IF APPLICABLE: [:/LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) C]ADu ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL 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 DRAINAGE MITIGATION QUESTIONS: ❑DRIVEWAY APRON/CURB CUT FT IN HEIGHT STOR ER DISCHARGES TO: FT WIDE ❑ASPHALT/CONCRETE PAVING 0 Combined Sewer E RETAINING WALL/ROCKERY IN RIGHT-OF-WAY SF []✓ Separated Storm Sewer LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT _❑Direct Discharge to Snohomish River or P_uget Sound 0CLEARING/GRADING/FILL/EXCAVATE 90 FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: 0 CUT/BORE IN PAVEMENT(PARALLEL) CY 0 MR2 Only MR1-5 ❑MR1-9 L F i—D —— — ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) QUANTITY OF PROPOSED HARD SURFACES: 0 POLE WORK/AERIAL/OVERLASH LF Proposed Roof Area:2178 SF ADDITIONAL DESCRIPTION(AS NEEDED): LF Proposed Hardscape:56 SF Total New+Replaced:2234 SF OWNER/APPLICANT NAME:Rod&Victory Lucas CONTACT INFORMATION OWNER/APP. MAILING ADDRESS: STREET 261328 Maple Valley Hwy#308 CITY Maple Valley OWNER/APP.PHONE:206-501-6379 STATE WA zip 98038 OWNER/APP.EMAIL:indigoenterprises@gmail.com 'Required for Work in Public Right-of-Way CONTRACTOR NAME: Indigo Enterprises, LLC CONTRACTOR ADDRESS: STREET268.28 Maple Valley Hwy, #308 cry Maple Valley CONTRACTOR PHONE:206 501 6379 STATE WA ZIP 98038 CONTRACTOR LICENSE#(REQUIRED):INDIGEL975LW CONTRACTOR EMAIL:indigoenterprises@gmail.com PRIMARY CONTACT: EVERETT BUSINESS LICENSE#(REQUIRED): NAILS 23611562116 ❑OWNER /APPLICANT 7 CONTRACTOR CONTACT NAME: ❑OTHER(Architect, Engineer, Etc.) CONTACT PHONE:206-501-6379 Peter Krenzke ACKNOWLEDGEMENTcomply have! reviewed this application and confirm the mationCT NcontainedAIL: igoe.n terprlS@S rp with federal, reviewed local taw, The grantingna of @g aWork d ect authorized in writing from the Building Official be efore being authorized under any circumstance, !am the owner o I acorrion Work done pursuant to this permit irst b must permit only authorizes approved work and no deviations therefrom. Deviations must first e perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / m authorized by the owner of this property tol 1 / City of Everett Official Use Only / � i PERMIT# . >I^ 011- 0 r uthorized Agent Signature Pw� �� " Date (Revised 1/72019)