4828 DELAWARE AVE 2024-11-01 - Laserfiche WebLink

PL JUUC WORKS PERMIT PUCAT ON J CITY OF EVERETT PERMIT SERVICES VE ! 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-88557QI (E)evjejretteps@everettwa.gov I https://everettwa.gov/permits PROJECT ADDRESS: 4 28 9 BWore ci tiara e F-Verett, Lii 9es 203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX L►TADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT SST�ORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE recombined Sewer Cl'ASPHALT/CONCRETE PAVING 500 SF ❑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 ❑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: 1.(A SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: G 82. D SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: 'co SF IReme, 0444)3 e(-•.k. drivewei, {. Rep&e. w th apnc.lret ; no inlL` c- - . VJ6 he been cY leech On lint O o f jewtt. r-eWenzG no perm'i iS n- 'a e F +he prlltrt is not CJ1t rt eJ, `"" 1 - kS' t+•-a� w ra Y { F' Ya x+ .tr '..µ.. �rka!r., 4 mfi .��y.Tt'n'F �.-sr.. K.ti,. �r iMC r � 7' �: _. .c e a +'` 1 s_ i . - :.,�.v. a at t�. t�y' r I t:M tr.Y a'1 x �t x{r� t y k= t X' , }.t tq.J T.+`..:.;._. ...�.::.�crs IFa G"�i.3.nvtJ�'....:.._f ;_...:�....__i�..1iRV,I�i � �+�1�(xQ.�.#1!�'!��'�I��...a�x ..._. ..au__.r ...�:,.. .::c.__.S. .. ......._..r..,._... _. OWNER/APPLICANT NAME: 11 a� Oh\FS OWNER/APP. MAILING ADDRESS: STREET 2304' v<e111t\1ix7.{..h T1 .sCe5 Eu. Q-ii) u a 912.03 � CITY I STATE ZIP OWNER/APP.PHONE:G 2,5 -,33v I 70 OWNER/APP.EMAIL: C1Q11 a I , corn �.a...V- r�....�.,.acww-,u.«...:..ae..».»...ua«.,..mi axrnw�W!W3w49AT+FY.3 a.Fi..3,.a.�n�,...m-arornM»..✓+••.+4'�..`s_a..w..Wwt^.„n„te-_..es,—«.» ,«.a+,+,.,. n..:.ea. *Required for Work in Public Right-of-Way n_ CONTRACTOR NAME: PIOn92( (14 it eo CONTRACTOR ADDRESS: STREET ( ,31 I(k'l ave. 8. a p CITY 'Ti)I a tip S'TATE W& ZIP 9 d2 / ^ CONTRACTOR PHONE: �JIO0• Z 2D. Cori 11 CONTRACTOR EMAIL: �rvie-",,e �.J�( CD .nek CONTRACTOR LICENSE#(REQUIRED): SCI.le \C.a'15 KN EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: IYYOWNER /APPLICANT 0 CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 42 ,.:. (370 CONTACT EMAIL: cidlif E i) an! , COrr 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 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 UA1 - PERMIT# . 5 2022. Pw )2a "b\ I Owner/Authorized Agent Signature Date (Revised 4/15/2019)