7409 3RD DR W 2023-12-27 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https:Heverettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:7409 3rd Dr W, Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ✓❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: Ll LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) EPPLI CABLE: ElFRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB M JOB# DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: 0 FENCE IN ROW 3.5 (plexiglas) FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT 5.5 FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: s❑ CLEARING/GRADING/FILL/EXCAVATE 7 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: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced: SF Install retaininq wall on surveyed property line (NE corner), back fill, qrade. Mount 42" tall plexiqlass fence with 4"x4" cedar support posts every 7' for each 14' from corner (6' cedar fence rest of boundary). (12'X14' Yardistry gazebo to be placed setback 5' from property line.) CONTACT INFORMATION OWNER/APPLICANT NAME:Wendy Weaver OWNER/APP. MAILING ADDRESS: STIEET7409 3rd Dr W CITY Everett STATE WA Z,P 98203 OWNER/APP. PHONE:425-280-4532 OWNER/APP. EMAIL:MUSIC@EdmondsAdventlst.org `Required for Work in Public Right-of-Way CONTRACTOR NAME: Dean BaCkholm Landscape Design, Inc. CONTRACTOR ADDRESS: STIEET11812 NE 102nd PI cIn Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE:425-471-5405 CONTRACTOR EMAIL:Dean@DeanScape.com CONTRACTOR LICENSE#(REQUIRED):DEANBBL968DA IEVERETT BUSINESS LICENSE#(REQUIRED): pending PRIMARY CONTACT: FI-1 OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-280-4532 Wendy Weaver CONTACT EMAIL:music@EdmondsAdventist.org 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 I am authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 8/18/2020 IPW Owner/Autho z Agent Signature Date (Revised 1/72019)