6209 BLUFF PL 2022-08-25 - Laserfiche WebLink

ra P(LIC WORKS PERMIT A'LiCATION 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://everettwagov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6209 Bluff PI, Everett,WA 98203 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX OADU ❑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 Z ASPHALT/CONCRETE PAVING 349 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 I FILL/EXCAVATE 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:0 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:349 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:349 SF Paver patio and walkway. See attached narrative for additional details. CONTACT INFORMATION OWNER i APPLICANT NAME:Alex&Ashley Pittman OWNER/APP. MAILING ADDRESS: STREET 6209 Bluff PI CITY Everett STATE WA zR 98203 OWNER/APP.PHONE:425-223-2511 OWNER/APP.EMAIL:alexgpittman@gmail.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: N/A (owner-completed) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR UCENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ✓❑OWNER /APPLICANT El CONTRACTOR El OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-223-2511 Alex Pittman CONTACT EMAIL:alexgpittman@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.1 am the owner,or/am authorized by the owner of this properly to perform re wrk for which application is made,and f comply with the State Contractors Law 18.27 RCW and 296.200A WAC. ( City of Everett Official Use Only PERMIT# 43I3 }izoZz PW 220L-}— 01\ • o; ed Agent Signature Date (Revised 1/72019)