Laserfiche WebLink
PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMiTTATINSTRUCTMNeWAGIRMOTON Fm>II>ppR>,w>a>BNm law nNNP. llfi> �B.Brelm>..c,< >I p eB , „�2.aFN a a. <br />CONTACT INFORMATION(P)02L26P8810I(E)Pe,mdSewices®evere .govl(W)everelMa.gmlPo=S <br />PROJECT SI <br />PROJECT ADDRESS: 1702 We"are Ave, Everetl, WA 98201 <br />SITE WORK FOR PROJECT TYPE: OSFR-DETACHED OTOWNHOUSE OWPLE% DADU OMULTW MILY OCOMMERCIAL OINDUSTRIAL <br />IF APPLICABLE: D LAND USE PROJECT# (SEPA. PREAPP, SS, ETC.) <br />IFAPPLICABLE: QFRANCHISEIUTILITY COMPANY, ANNUAL BWNKET PERMIT# <br />UTILITY COMPANYS NAME& JOB#: JOBm <br />DESCRIPTION OF IN <br />FILL IN ALL QUANTITIES OF WORK BE LOW, AS APPLICABLE: <br />R FENCE IN ROW B FT IN HEIGHT <br />❑ DRIVEWAY APRON I CURB CUT FT WIDE <br />D ASPHALT I CONCRETE PAVING SF <br />RETAINING WALL I ROCKERY IN RIGHT-OF-WAY aB LF <br />❑ RETAINING WALL I ROCKERY OVER CFT IN HEIGHT FT TOTAL HEIGHT <br />■ CLEARING I GRADING I FILL I ERCAVATE 20 CY <br />❑ CUTWRE IN PAVEMENT( PARALLEL) LF <br />O CUTIBORE IN PAVEMENT (NON-PARAIIEL) LF <br />D POLE WORK I AERIAL/ OVERLA$H LF <br />JADDITITOICAL DESCRIPTION IAS NEEDED : <br />F-WAY WORK <br />DRAINAGE MRIGATION QUESTIONS: <br />STORMWATER DISCHARGES TO <br />17 Combined snow <br />O Siderated Slmm Sever <br />El Direct Discharge, to SmMmw New a Peter sound <br />TRIGGERED REQUIREMENTS: <br />OMPEOn, DINI DEVI <br />QUANTITY OF PROPOSED HARD SURFACES' <br />Proposed Roof Area: SF <br />Proposed Hardware: SF <br />Tool New, Replaced. SF <br />See attached site plan. <br />CONTACT INFORMATION <br />OWNER I APPLICANT NAME: Erin Roullecp <br />OWNER/ APP. MAILINGADDRESS: 11702 Warmers Ave <br />Everett STATE WA ZIP 98201 <br />OWNER I APP. PHONE: 425-760-790 <br />OWNER I MR. EMAIL emuNedgel 2@gmail.com <br />'Required for Work In Public RI9hIM-Way <br />CONTRACTOR NAME: Uhler Left Federation & Landscape <br />CONTRACTORADDRESS: snarear 811 N Grants Ave <br />c. Granite Falls STATE WA ae 98252 <br />CONTRACTOR PHONE: 425-S18-5009 <br />CONTRACTOR EMAIL: UIMBrLellJoe@yahoo.com <br />CONTRACTOR LICENSE kIREDUIRED:UPPERLR801M9 <br />EVERETT BUSINESS UCENSE#(REQUIRED): <br />PRIMARY CONTACT: NOWNERIA,�P..IIPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) <br />CONTACT NAME: Erin ROUtIQU Q <br />9 <br />CONTACT PHONE: <2i]W42]0 <br />CONTACT EMML:e�se miDemwuern <br />ACKNOWLEDGEMENR the" reviewed ZM1is applicalicn aM confirm the irdwma(mn cvnlairred M1erein is hue aM mrmc(. WM Mne puauanl b this perme must <br />romplYMM cuneM lMnBI, Si¢,aMbcvalik board <br />ad OlawlunpNYycieum4ainve tl,uWkaMnp tl¢NBEbn4 ehMIT'n. D¢vIBtW,9 mWf flmf bC <br />ranker d in week <br />krflcm Me Buiairg As Male, and being eNhrk the Care Qin sii Low 1 I am ICWskd;,Wiarn au(M1Orhetlby MBOwrrol oi(M1isprcMy fo <br />perform Ilre wcM brwM1icM1 applkalion le made, and; cri,nplY work the Slate COntxclOrs Law 182] RCW erM 296.200A WAC. <br />PIEKMI <br />CiryWEvpg10/lrciel Ua6OMy <br />2-22-2023 IPW <br />G sOAuModm Apmd Sgnerum Cars (Revised kV2I 022) <br />