2610 VIEWCREST AVE 2022-04-13 - Laserfiche WebLink

i PLIC WORKS PERMIT IPLICATION 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 RROJECT,8ITE.INFORMATION..' PROJECT ADDRESS: 2J ( b -- Qi L3 C ZEST' AO I . SITE WORK FOR PROJECT TYPE: • SFR-DETACHED ❑TOWNHOUSE ODUPLEX DADU OMULTI-FAMILY ❑COMMERCIAL DINDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) DESCRIRTION.OF•'RITE WORK/RIGHT OE-1NAY..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 ❑ 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 ❑ 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 CONTAACT-INFOR11 AT1:O14k , ,` OWNER/APPLICANT NAME: --Jc c-z-vt-t r vYU' 1"---) =(-- r- +—\ OWNER/APP. MAILING ADDRESS: STREET .4-1 C } Si�4 1�L.- I.--t CITY 4k.--kt-'a ' I STATE OOA- ZI PC - �) L [LL• r< �, Z ��. OWNER/APP. PHONE: ZC�L� *, ZGr, . OWNER/APP EMAIL: C�t r �� *Required for Work in Public Right-of-Way CONTRACTOR NAME: 1 D CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED) , PRIMARY CONTACT: "VOWNER /APPLICANT 0 CONTRACTOR 0 OTHER(Architect, Engineer, Etc.) � CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ,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 efore being authorized under any circumstance. I am the owner,or I am authorized by the owner of this property to perforrn`"the work for which application is ma e,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / j City of Everett Official Use Only ° PERMIT# I© 21, t APW n c.0 O sq Owner/Authorized Agent Si nature Date (Revised 4/15/2019) i i D