3007 EVERETT AVE GLOBODYNE INDUSTRIES 2017-04-19

Put3LIC WORKS PERMIT ARLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3007 EVERETT AVENUE IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ®COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑ NO ®YES, FROM SFR TO ARTIST STUDIO NEW WATER/SEWER SERVICE NEEDED? ® NO ❑ YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: ADD 3 TREES AND SHRUBS FOR TYPE III LANDSCAPING TO EXISTING LANDSCAPE AREAS ALONG EVERETT AVENUE AND BETWEEN ADJACENT PARCEL BOUNDARY TO THE WEST. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: HOWARD BARGREEN OWNER MAILING ADDRESS: STREET 2821 RUCKER AVENUE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-760-9336 OWNER EMAIL: hbargreen@aol.com APPLICANT NAME: BRIAN BODGE APPLICANT MAILING ADDRESS: STREET 523 61ST ST SE CITY EVERETT STATE WA ZIP 98203 APPLICANT PHONE: 425-879-3437 APPLICANT EMAIL: brianbodge@msn.com PRIMARY CONTACT: ❑OWNER ❑APPLICANT ®OTHER(Architect, Engineer, Etc.) CONTACT NAME: DONNIE STAFF CONTACT PHONE: 806-681-9885 CONTACTEMAIL: donnie.staff@gmail.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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# c 1 l � PW 1 �a( - c)( f Owner/ uthorized 4ent Signature Date (Revised 1011212015)