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PILIC WORKS PERMIT LICATION <br /> 4p.k-rrCITY OF EVERETT PERMIT SER CES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:320 S. Cabot Rd. <br /> SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ['DUPLEX EADU EMULTI-FAMILY ['COMMERCIAL [INDUSTRIAL <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRT O S WORK I RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOWI <br /> IP,AS ION APPLICABLE:FITE DRAINAGE MITIGATION QUESTIONS: <br /> E FENCE IN ROW FT IN HEIGHT STORiviVv'ATER DISCHARGES TO. <br /> ❑✓ DRIVEWAY APRON/CURB CUT 20 FT WIDE ❑Combined Sewer <br /> ❑ASPHALT/CONCRETE PAVING SF El Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> Z CLEARING/GRADING/FILL/EXCAVATE 200 CY ❑ MR2 Only ❑MR1-5 El MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ID CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF <br /> ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+ Replaced: SF <br /> Demolition of existing SFR - Construction of new SFR and Detached Garage <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME: Marc Fogg <br /> OWNER/APP. MAILING ADDRESS: STREET 318 S. Cabot Rd. <br /> CITY Everett STATE WA ZIP 98203 <br /> �nr nnn rnwn 1OWNER <br /> t_ _ _�iOWNER/APP. PHONE:425.308.56 �9 /APP. EMAIL:iogg.illeiic�wgi-i-maii.Cui-rl <br /> *Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: LEXAR Homes <br /> CONTRACTOR ADDRESS: STREET 3721 116th Street NE, Ste 9 <br /> CITY Marysville STATE WA ZIP 98271 <br /> CONTRACTOR PHONE:360.657.1968 CONTRACTOR EMAIL:walkerconstructionbuilder@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):LEXARH*850NC 'EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑ CONTRACTOR ❑✓ OTHER(Architect, Engineer, Etc.) Consultant <br /> CONTACT NAME: CONTACT PHONE:425.238.6324 <br /> Stacy Smith CONTACT EMAIL:stacy@stacysmith.net <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> 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 <br /> 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 <br /> pert ork for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> / of Everett Official Use Only <br /> :I. ' / ,a-5) /a57 09 PERMIT# <br /> PW <br /> \'4r/Authori pp Signature Date (Revised 1/72019) <br />