4827 VESPER DR 2023-05-22 - Laserfiche WebLink

mil ix PI4IC WORKS PERMIT AO'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://everettwa.gov/permits RROJ T�SITE..INFORMA?IOilk' PROJECT ADDRESS: 4� .<,÷ jErz v,il e"Per ) VV 20 1J SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED TOWNHOUSE 0 DUPLEX ❑ADU gIMULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) � DESCRIPTI©N�.OF'SITE Iiiitiiiit l RIGHT OF WAY WOiiWni FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: 1 // '*FENCE IN ROW C.0 74 1• " ' ' FT IN HEIGHT STORMWATER DISCHARGES TO: I 1 ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 0 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 QUANTIT PIRoPOSEDH4! $1RFACES: ' j Lk' ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed ea. . ', ❑ POLE WORK/AERIAL/OVERLASH LF Proposed r s ape8Ep 1 ,°?9 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New Raced: S>� CITY OF EVFR�TT Permit Services CONTACT-INFORMATION . —OWNER/APPLICANT NAME: 1.>4W L '3 'R 0 paz� I`1 L.,L OWNER/APP. MAILING ADDRESS: ( STREET 150 50 AID. fiL--/ -PL. z CITY B EL E V STATE IVA- . ZIP Yi?n a OWNER/APP.PHONEY 4 Z S) 22 0 !v „ .3 OWNER/APP EMAIL: ,, `L 1 v *Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): ❑ OWNER$PRIMARY CONTACT: /APPLICANT 0 CONTRACTOR 0 OTHER(Architect, Engineer, Etc.) COI r Ai E: o �� CONTACT PHONE: Lt 2 5 3 9 9 / 1 �J i `� vtl' CONTACT EMAIL: L.- ACKNOWLEDGEMENT:I have reviewed s appli to and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state, d to al law. Th gr ting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorize ' w' ng from the B din 0 icial before ei g orized under any circumstance.I am the owner,or I am authorized by the owner of this property to pe m th rk for which ap i e,and I ll ith the State Contractors Law 18.27 RCW and 296.200A WAC. . City of Everett Official Use Only /)it_ PERMIT#ç>9'j: -Zo' PW /d9a ? — 64-37" Owner/Authorized Ag t Signature Date (Revised 4/15/2019)