1523 WALNUT ST 2022-04-29 - Laserfiche WebLink

PLIOLIC WORKS PERMIT P PLICATION 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 PROJECT SITE INFt)RII�A' Iti�l . PROJECT ADDRESS: 152--7`. \\/A`Nt,S i 5T tv 0‹.4 , A , `j 42 t3 l SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU EIMULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) • DESCRIPTION:t' F SITE.WORK/RIGHT OF AYINORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: El DRIVEWAY APRON/CURB CUT ApTtiz 2--S FT WIDE 0 Combined Sewer Cl ASPHALT/CONCRETE PAVING 0n 0 SF 0 Separated Storm Sewer Cl 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 0 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"rd'y o°O SF RePlGcer‘) Coy\cte•kk2 8vrt Q.v.)c,-y. c.rr'. ghat\ Tck n „� tA3c,\\ .tu reihfosce par k/ w� Set,.\ :h LiA bo - ) 1 .1(§ ,t. 1 h GIG\ v`��` Y�li Q�� Cee,A. � ©,r)\-) I""t ` cknneaN tiie QJSit�a CONTACT 1F iRMATION.._ .:. .. OWNER/APPLICANT NAME: EvA IA1)tz rw el_ OWNER/APP. MAILING ADDRESS: STREET D Q° 53 CITY Murysvirlk STATE V'.A ZIP `1Z OWNER/APP. PHONE: 1.6ts.- -+Z`t-SI'S OWNER/APP.EMAIL: eh6.e-4 el\ 21® g4"lo,+ Or\ *Required for Work in Public Right-of-Way CONTRACTOR NAME: ECollcsm y + Coo.;-1r1 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: 2 (c' -3 A- CONTRACTOR EMAIL: e Oh61,11j ckStp\ \k-6 �'v ,\ . Ca t CONTRACTOR LICENSE#(REQUIRED) EVERETT BUSINESS LICENSE#(REQUIRED) PRIMARY CONTACT: I OWNER /APPLICANT 0 CONTRACTOR 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: Z.0 -43R - 37S3 EvA N 1--)AWCANJ CONTACT EMAIL: eha,-..kvJe\\ .2 C(3O \ 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. I am the owner, or I am authorized by the owner of this property to perform the work for which a plication is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /.7 PERMIT# 11 .202_4 PW2it0 8 -02-q' Owner/ t I d Agent Signature Date (Revised 4/15/2019)