2219 WETMORE AVE 2025-03-24 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS Email application&submittal documents to PermitServices@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 SITE INFORMATION PROJECT ADDRESS:2219 Wetmore Ave, Everett, WA 98201 SITE WORK FOR PROJECT TYPE: I@SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑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#: DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK 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 FT WIDE ❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING 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: None SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:>200 Sq/ft SF ADDITIONAL DESCRIPTION(AS NEEDED): lTotal New+Replaced:>200 Sq/ft SF Install concrete paver driveway using 16" pavers in 5 strips/sections: 20' strips x 4 and 35' strips x 2. See map. Strips to be used for tires and side and back walkways. Install in open space north of existing garage. Parking is is 110IFUSSelitial. Plujeut tu 1171flaiii undei 200 squane feet. 16" pavei sample (15.7" actual) included with applicatiull. CONTACT INFORMATION OWNER/APPLICANT NAME:Brian L. Cole Caplan OWNER/APP. MAILING ADDRESS: STREET 2219 Wetmore Ave CITY Everett STATE WA ZIP 98201 OWNER/APP.PHONE:206-799-9631 OWNER/APP. EMAIL:contactcole@hotmail.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: Owner as noted above CONTRACTOR ADDRESS: STREET Same CITY STATE ZIP CONTRACTOR PHONE:Same CONTRACTOR EMAIL:Same CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: @ OWNER /APPLICANT ❑CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:206-799-9631 Cole Caplan CONTACT EMAIL:contactcole@hotmaii.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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only r� PERMIT# PW O rlAuthorized Agent Signature Date (Revised 412112022)