705 OLYMPIC BLVD 2026-02-05 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT ITE .113 PROJECT ADDRESS: 7fi ( SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: 7DRAINAGE MITIGATION QUESTIONS: 0 FENCE IN ROW FT IN HEIGHT MWATER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF Q Separated Storm Sewer D9-RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑Direct Discharge to Snohomish River or Puget Sound 0 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 QUANTITY OF PROPOSED HARD SURFACES. ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: ,9 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: �® SF ADDITIONAL DESCRIPTION(AS NEEDED): 112tal New+Replaced: '`� SF L[Lvascaac u��L Llv� Woa• _ G CS I IIYiFQRNI 'F'[OIrI_s OWNER/APPLICANT NAME: i. A OWNER/APP. MAILING ADDRESS: STREET CITY G% ��etf STATE OWNER/APP.PHONEZ 9V 3 OWNER/APP.EMAIL: GG'o', '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): PRIMARY CONTACT: 9OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 46 is-�( ��O'i� `%Gtli -. CONTACT EMAIL: �� l%r�i�� 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.I am the owner,or I am authorized by the owner of this property to pe rrj the work fcfi which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. J City of Everett Official Use Only PERMIT# PW Z!/Z -03S Owner/Authorized Agent Signature Date (Revised 411512019)