1038 WOODLAWN AVE 2025-01-30 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:Email application&submittal documents to PerrnitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT ADDRESS:1038 1/2 WOOdlawn Ave, Everett,WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE BDUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) IF APPLICABLE: ❑FRANCHISE/UTILITY 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 STORMWA TER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT 15 FT WIDE 8 Combined Sewer ❑ASPHALT/CONCRETE PAVING 200 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 I EXCAVATE 6.17 CY ❑MR2 Only ❑MR1-5 ❑MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) 15 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 10 ft by 20 ft pour concrete driveway access. .. s. W10-1 OWNER I APPLICANT NAME:Victor Chung OWNER/APP. MAILING ADDRESS: STREET PO BOX 75273 CITY Seattle STATE WA ZIP 98175 OWNER I APP.PHONE:(206)818-3705 OWNER/APP.EMAIL:vkc88@yahoo.com Required for Work in Public Right-of-Way CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: @ OWNER I APPLICANT ❑CONTRACTOR ❑OTHER(Architect,Engineer,Etc.) CONTACT NAME:Victor Chung CONTACT PHONE:(206)818-3705 CONTACT EMAIL:vkc88@yahoo.com 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 1 comply with the State Contractors Law 16.27 RCW and 296.200A WAC. City of Everett Official Use Only 9/23/2024 PERMIT# Owner/Auth rized Ag ure Date (Revised 412112022)