7018 BEVERLY BLVD 2022-07-20 - Laserfiche WebLink

PLSLIC WORKS PERMIT A'LICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:7018 BEVERLY BLVD, EVERETT, WA 98203-4940 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ['DUPLEX EADU ❑MULTI-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 FT WIDE ✓❑ Combined Sewer C ASPHALT/CONCRETE PAVING 1,010 SF ❑ Separated Storm Sewer O RETAINING WALL/ ROCKERY IN RIGHT-OF-WAY 145 LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: LI CLEARING/GRADING/FILL/EXCAVATE 240 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:2,606 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 1,307 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:3,732 SF Grading per plan, export of soil as needed. Retaining wall not in right of way. CONTACT INFORMATION OWNER/APPLICANT NAME: Pavel Svetleachni OWNER/APP. MAILING ADDRESS: STREET 16420 Spruce Way, Unit A4 CITY Lynnwood STATE WA ZIP 98037 OWNER/APP. PHONE:(206) 940-5603 OWNER/APP. EMAIL:pavelsvet@gmail.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER /APPLICANT ❑ CONTRACTOR ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:(206) 940-5603 Pavel Svetleachni CONTACT EMAIL:pavelsvet@gmail.com 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# PW � Owner/Authorized Agent Signature Date (Revised 1/72019)