7018 BEVERLY BLVD 2022-07-20 - Laserfiche WebLink

PlialLIC WORKS PERMIT A&PLICATION CITY OF EVERETT PERMIT SER ES 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:7018 BEVERLY BLVD, EVERETT, WA 98203-4940 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ['TOWNHOUSE ['DUPLEX ❑ADU ❑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 ❑✓ ASPHALT/CONCRETE PAVING 1,010 SF ❑ Separated Storm Sewer ✓❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 145 LF El Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ✓❑ CLEARING/GRADING/FILL/EXCAVATE 240 CY El MR2 Only ✓❑ MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: El 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#„,--/0 -,O ' , .2 U P OY14k0) hU tbo i-o Owner/Authorized Agent Signature Date Revis