1311 W MUKILTEO BLVD 2022-06-29 - Laserfiche WebLink

/ ® PUUt JC `Vv 0i'D KS PERMIT - CAAT SN ni CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 EVWASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits _ _ PRljECT SITlE.iltiO RIIVIAIrli.0 ._..,,s ..,r_ ..«. --.._ . _. -s r PROJECT ADDRESS: 11 I I Ul s* k L I fie, b Li , e\i tr y , iii 6 , ei"g lig Zo 3 . SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ODUPLEX DADU ❑MULTI-FAMILY OCOMMERCIAL DINDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) :::.:DESCRIPTION<OF_SITE WORK I;RIOIFIT 8 .:_1NAVIVVORK _ ...:' r r, 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 ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF 0-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: IltCLEARING/GRADING/FILL/EXCAVATE CY afthR2 Only 0 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: c' SF b ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: C.) SF .Siva-G :-K11-.DG-D av-eAS .3 x' `w GOI fiA T_lI +IFQ A�'F`ibilI_`_. _._ _.__:x.._R ...._... w._. t _. x`t `i�'Ff.. OWNER/APPLICANT NAME: U✓1 '--tZ _ 1 s S A' �y • ( . 1 ki'IL-k- -��. 61✓ OWNER 1 APP. MAILING ADDRESS: STREET 'r � � � � CITY eV Q'�� \ STATE LiIP\ ZIP q -z,-3 OWNER/APP. PHONE: Z,j b— 4 Z `, .O(i OWNER/APP.EMAIL: ¶S an C) S LA n l 3:-m *Required for Work in Public Right-of-Way CONTRACTOR NAME: (Y1 v t), e .ru�VCA con CONTRACTOR ADDRESS: STREET 141 N kp Sep+ CT - .E_ Su.C e_ I oc er \ I-C C CITY ' )0 fl( lc_ STATE 1,4 Pt ZIP 1 (2 7L CONTRACTOR PHONE: [1 ()1 15 Z k 'CONTRACTOR EMAIL: I I'i v `;. (n Je Q 1 icZy.,Ga r`7 / ` /1 CONTRACTOR LICENSE#(REQUIRED) C e)i 0 C. Zq 1 1 EVERETT BUSINESS LICENSE#(REQUIRED): O 1 I 6 �" ��..:a��.�:�.�.:n:.a-,..�:.�::_.,.,��r:.� PRIMARY CONTACT: 14 OWNER /APPLICANT 0 CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 2 cs — 3 6 7 — I 2- \ Pt \ ©r\ k cchQirk 6fe.Mile' CONTACT EMAIL: O i I(on ( YgtP_ n Q- C k7 r► 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 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# �--2. 1., Pi......%, , ec I G_f�1 10 z ( PW 7i — a rS q--- . Owner/Authorized Agent Signature Date (Revised 4/15/2019)