2730 W MARINE VIEW DR 2025-09-03

I�. LIC WORKS PERMIT Ai=PILIC TrOIM CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION iPROJECT ADDRESS:NS 1Z i 1 i.7,A:1 P'(�l.l. I{ `'3 F SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNH.OUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IIF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) -1-ev h414,,ka Derr' (✓ ( `- U't't) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# DESCRIPTION OF SITE WORK I 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: ❑DRIVEWAY APRON/CURB CUT I /,V 'i':i i% FT WIDE LI Combined Sewer ❑ASPHALT/CONCRETE PAVING ��/.� SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY IV ✓ LF ❑ Direct Discharge to Snohomish River or'Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT ,2 FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE J 2 r 0•040 CY .r-' :01er4FM ❑ MR2 Only El MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) iV/ . LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) N/A. LF Proposed Roof Area: N/1A SF ❑POLE WORK/AERIAL/OVERLASH V/f; .. LF Pooposed Hardscape:Ea a ,I/ Cs Rev�� ADDITIONAL DESCRIPTION(AS NEEDED): P.yf tvj t7":*" Total New+Replaced Jf-r n 5 ,4 SF PR Y-`,E CONTACT INFORMATION OWNER/APPLICANT NAME: /'•!77, .5k01-1O't'1.r it! "O ft> . �. , $=.. 4 5 y,," '✓ OWNER/APP. MAILING ADDRESS: STREET Z70 7 elo tom `'1''�' '� �' c'8 cm( Fr: '--`C ,+"^ STATE WA ZIP 9 , iv/ OWNER/APP. PHONE:::'°'°;;>r .:- , ,�. ,-, OWNER/APP. EMAIL: A 6 'Required for Work in Public Right-of-Way CONTRACTOR NAME: A-v't ( J5 'LiJ/t„J CONTRACTOR ADDRESS: STREET ` "/'t CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(RIQUIRE_D): PRIMARY CONTACT: "OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.)__ CONTACT NAME CONTACT PHONE: , A—G ,5, ,,apei �,°04.1 CONTACT EMAIL: ��:?y..- k 0 (.10 ; 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 PERMIT# e ` a— 6 , , PW /9O°1-0'10 Owner/Authorized Agent Signature Date (Revised 1/72019)