615 35TH ST 2022-07-14 - Laserfiche WebLink

PIIFLIC WORKS PERMIT .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 INFORMATION PROJECT ADDRESS:615 35TH STREET, EVERETT,WA 98201 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE EDUPLEX EADU EMULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) 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: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑✓ DRIVEWAY APRON/CURB CUT 17 FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 1672 SF Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ 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 ❑MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:0 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 1642 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced:1642 SF REPLACE EXISTING CONCRETE DRIVEWAY AND PATIO. CONTACT INFORMATION OWNER/APPLICANT NAME:GARIN SCHENK OWNER/APP. MAILING ADDRESS: STREET 615 35TH STREET CITY EVERETT STATE WA ZIP 98201 OWNER/APP. PHONE:206.931.0990 OWNER I APP. EMAIL:GARIN@ARCHSTUDIOEVERETT.COM *Required for Work in Public Right-of-Way CONTRACTOR NAME: WESTROCK CONSTRUCTION LLC CONTRACTOR ADDRESS: STREET 5418 123RD NE CITY LAKE STEVENS STATE •��/�� A ZIP 98258 CONTRACTOR PHONE:206.850.8542 CONTRACTOR EMAIL:JON@WESTROCKCON.COM CONTRACTOR LICENSE#(REQUIRED):WESTRCL814QK EVERETT BUSINESS LICENSE#(REQUIRED): 274841 PRIMARY CONTACT: 0 OWNER /APPLICANT ❑ CONTRACTOR ❑ 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 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# (L►4. c',25.7,020 PW 10 + 0 -- GG � Owner orized Agent Signature Date (Revised 1/72019)