519 92ND ST SE 2023-11-28 - Laserfiche WebLink

1: PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERE T T SUBMITTAL INSTRUCTIONS:Sao eppi catbn 6 eubmlttal documents to PermlSeMeef Geverettwo Gov or drop offal 3200 Cedar Street 2nd Floor Drop Bon WASHINGTON CONTACT INFORMATIONS(P)425-257-88101(E)PennitServices®overettwa.gov I(W)overottwa-gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:519 92ND ST SE Everett Wa 98208 SITE WORK FOR PROJECT TYPE: OSFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU []MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑LAND USE PROJECT M(SEPA,PRE-APP,SS,ETC.) IF APPLICABLE: ❑FRANCHISEIUTILITY COMPANY,ANNUAL BLANKET PERMIT 8 UTILITY COMPANY'S NAME&JOB 0: JOB 0: 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 22 FT WIDE ❑Combined Sewer ■ASPHALT/CONCRETE PAVING 308 SF ❑Separated Storm Sewer O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑Direct Discharge to Snohomish River or Puget Sound ❑RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING I GRADING I FILL I EXCAVATE CY ❑MR2 Only ❑MR1-5 ❑MR1-9 ❑CUTIBORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUTBORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK I AERIAL I OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION AS NEEDED): Total New+Replaced SF Permit request to install asphalt apron between street and driveway. 1022' CONTACT INFORMATION OWNER/APPUCANT NAME:Jeffrey Lewis OWNER/APP. MAIUNGADDRESS: mm519 92ND ST SE , EVERETT STATE WA n,98208 OWNER/APP.PHONE:425-301-7056 OWNER/APP.EMAIL:J EFF_LEW IS44QYAHOO.COM 'Required for Work In Public Right-of-Way CONTRACTOR NAME: JD Hunt Paving LLC CONTRACTOR ADDRESS: x.,,,5818 Storm Lake RD cm Snohomish aTATE WA zm 98290 CONTRACTOR PHONE:425-249-8792 1CONTRACTOR EMAIL:josh@jdhuntpaving.COm CONTRACTOR LICENSE CREOUIRED):JDHUNHP864J2 EVERETT BUSINESS LICENSE#(REQUIRED): 0620010001 PRIMARY CONTACT: ■OWNER /APPUCANT ❑CONTRACTOR ❑OTHER(Architect,Engineer,Etc.) CONTACT NAME:Jeff Lewis CONTACT PHONE:425-301-7056 CONTACT EMAIL:Iett_lewis44®yahoo.com ACKNOAIL.EDGEMENT-'I have reviewed this application and confnn the/nformatlon contained heraln Is true and correct.Work done pursuant to this permlt must comply with current federal,state,and local law,Thu granting of a permit only authorizos approved work and no deviations therefrom.Duvlations must first be authorized in writing from the Building Offudal below being authorized under any circumstance.l am the owner,or I am authorized by the owner of this property to perform the work for which appBcation is made,and t comply with the State Contractors Lew 18.27 RCW and 296,200A WAC. City of Everett Official Use Only PERMIT Vdt IPW Owner/A I orf d gent k7naturo Date (Revised 412112022) Scanned with CamScanner