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PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EV E R E T T SUBMITTAL INSTRUCTIONS Email aWkalion&submittal documents to PermitServces+gieverettwa gov or drop ott at 3200 Cedar Street 21 <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-88101(E)Perm itServices(&verettwa.gov I(W)everettwa-goviper <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1502 Mc Dougall Ave. Everett WA 98201 <br /> SITE WORK FOR PROJECT TYPE: NSFR-DETACHED ❑TOWNHOUSE []DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDU <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA.PRE-APP.SS, ETC.) <br /> IF APPLICABLE: ❑FRANCHISEIUTILITY COMPANY.ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME &JOB#: JOB#: <br /> DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE DRAINAGE MITIGATION QUESTIONS: <br /> N FENCE IN ROW 3.5 FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑ DRIVEWAY APRON I CURB CUT FT WIDE 0 Combined Sewer <br /> ❑ASPHALT?CONCRETE PAVING SF ❑ Separated Storm Sewer <br /> ❑ RETAINING WALL I ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or F <br /> ❑ RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ❑CLEARING!GRADING/FILL/EXCAVATE CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 <br /> ❑ CUTiBORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SUf <br /> ❑ CUTiBORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area S <br /> ❑ POLE WORK;AERIAL I OVERLASH LF Proposed Hardscape- SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: c <br /> three foot fence that encloses front yard. it will be 3.5 feet tall and will be made of treated wood framing <br /> I will be building it myself. I need to understand what setback is needed due to the li ht ole on the corner <br /> CONTACT INFORMATION <br /> OWNER I APPLICANT NAME:Austln_Holmes <br /> OWNER/APP. MAILING ADDRESS: sr,,ET 1502 Mcdougall Ave <br /> CrTY Everett STATE WA 1 <br /> OWNER!APP. PHONE: OWNER 1 APP. EMAIL <br /> 'Required for YYork in PutAic Right-ol-Way <br /> CONTRACTOR NAME: Owner <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE 1 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#;REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: OWNER 1 APPLICANT ❑ CONTRACTOR ❑ OTHER(Architect. Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the mformatron contained heroin is true and correct. Work done pursuant to this pe <br /> comply with current federal,state,and local law. The granbng of a permit only authorizes approved work and no deviations therefrom.Deviations must frf <br /> authorized in writing from the Budding Official before being authorized under any circumstance.I am the owner.or I am authorized by the owner of this pt <br /> 3 <br />