2518 TAYLOR DR 2023-12-28 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERE17 PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425-257-8857 i (E)everettepseeverettwa.gov i https://everettwa.gov/permits PROJECT ADDRESS: 2518 Taylor Drive, Everett,WA 98203 SITE WORK FOR PROJECT TYPE: OSFR-DETACHED ❑TOWNHOUSE ❑DUPLEX CIADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC. IF APPLICABLE: ❑FRANCHISEIUTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# 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 FT WIDE ❑Combined Sewer ASPHALT/CONCRETE PAVING �A 300 Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑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 ❑MR2 Only ❑MRI-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: �y 30D SF ADDITIONAL DESCRIPTION AS NEEDED): Total New+Replaced: SF 3Gv F o c n ce OWNER I APPLICANT NAME:Adam and Margaret Dunn OWNER I APP. MAILING ADDRESS: STIEET2518 Taylor Drive clrr Everett STATE WA Z,P 98203 OWNER/APP.PHONE:907-301-5767 OWNER/APP.EMAIL:dunndpu@gmail.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: Dennis DOW Concrete Finishing CONTRACTOR ADDRESS: STREET 16 74th Street SW �/��Q en Everett STATE ••,` ZIP 98203 CONTRACTOR PHONE:425-353-5562 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): '0kt4?qjDC 011 L EVERETT BUSINESS LICENSE#(REQUIRED): UZ $ PRIMARY CONTACT: m OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect,Engineer,Etc.) CONTACT NAME: CONTACT PHONE:907-301-5767 Adam Dunn ]CONTACT EMAIL:dunndpu@gmail.com ACKNOWLEDGEMENT:1 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application Is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 5-21 - Zo Ipw Owns Authorized Agent Signature Date (Revised 1/72019)