1815 HOLBROOK AVE 2025-03-06 - Laserfiche WebLink

MEMPU .IC WORKS PERMIT AflLICATION CITY OF EVERETT PERMIT SERVI,mS EVERETT SUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop oft at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits k.01.5 PROJECT SITE INFORMATION PROJECT ADDRESS: Holbrook Avenue, Everett 98203 Tax Parcel 00549400501500 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: DFRANCHISE/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 STORMWATER DISCHARGES TO: El DRIVEWAY APRON/CURB CUT 20 FT WIDE ❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING SF e Separated Storm Sewer El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 30 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 0 MR2 Only ❑ MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: El CUT/BORE IN PAVEMENT(NON-PARALLEL) 10 LF Proposed Roof Area: 3157 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 1780 •SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: 4937 SF CONTACT IPIFORMATION... OWNER/APPLICANT NAME: Dave Nolan OWNER/APP. MAILING ADDRESS: STREET 502 92nd ST SE CITY Everett STATE WA ZIP 98208 OWNER/APP. PHONE: OWNER/APP.EMAIL: 'Required for Work in Public Right-of-Way CONTRACTOR NAME: Home Development Company, Inc. CONTRACTOR ADDRESS: STREET 9621 Windy Ridge Lane CIT Bow STATE WA zip 98232 CONTRACTOR PHONE: 425-582-1016 CONTRACTOR EMAIL: dave.no1an214@gmail.com CONTRACTOR LICENSE#(REQUIRED): HOMEDDC892RO EVERETT BUSINESS LICENSE#(REQUIRED): 65170 PRIMARY CONTACT: 8 OWNER /APPLICANT ❑ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: Dave Nolan CONTACT PHONE: 425-582-1016 CONTACT EMAIL: dave.nolan214@gmail.com ACKNOWLEDGEMENT 1 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 1 10-25-2022 PERMIT#PW (-70, 0 ( a DO( Owner/Authorized Agent Signature Date (Revised 4/21/2022)