Laserfiche WebLink
•UBLIC WORKS PERMIlt.PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps©everettwa.gov https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:22XX 124th Street SW <br /> SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX EADU ❑MULTI-FAMILY ❑COMMERCIAL ['INDUSTRIAL <br /> IF APPLICABLE: LAND USE PROJECT#(SEPA. PRE-APP,SS, FTC.)Pre-App. meeting 11/26/18 w/Niels Tygesen <br /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK _ <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑DRIVEWAY APRON/CURB CUT 38.25 FT WIDE ❑ Combined Sewer <br /> ❑ASPHALT/CONCRETE PAVING 740 SF ❑ Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ❑CLEARING/GRADING/FILL/EXCAVATE 170 CY ❑MR2 Only ❑MR1-5 ❑MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑CUT/BORE IN PAVEMENT(NON PARALLEL) LF Proposed Roof Area: 3,555 sir <br /> ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 1,172 SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:4,727 SF <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME: Brian and Candice Aikins <br /> OWNER!APP. MAILING ADDRESS: STREET 3523 Federal Avenue <br /> ciT-r Everett STATE WA zp 98201 <br /> OWNER I APP. PHONE:(425) 252-4148 OWNER/APP. EMAIL:bczm©comcast.net <br /> *Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: Armstrong Homes <br /> CONTRACTOR ADDRESS: STREET 2709 Auburn Way N. <br /> CITY Auburn STATE WA zip 98002 <br /> CONTRACTOR PHONE:(253) 833-3355 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): S f(*(2—'2-1 D 14--p EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER /APPLICANT ❑CONTRACTOR 71 OTHER(Architect, Engineer, Etc.) Architect <br /> CONTACT NAME: /� /� CONTACT PHONE,:425 348-3975 <br /> Fred J. Baxter, AIA CONTACT EMAIL:fred©baxterarchitects.com <br /> ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> 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 <br /> 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 <br /> perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW <br /> C Owner/A , ' ed Agent Signature Date (Revised 1/72019) <br />