2120 48TH ST SE 2017-06-07 - Laserfiche WebLink

Pt LIC WORKS PERMIT ) 'LICATION 4177- 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: 2120 48th St SE, Everett, WA 98203 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:VSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? VI NO ❑ YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ❑ YES.TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Install new driveway off of alleyway ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ASPHALT/CONCRETE PAVING 300 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: Rebecca Ahern OWNER MAILING ADDRESS: STREET 2120 48th St SE CITv Everett STATE WA zip 98203 OWNER PHONE: 208-794-1327 OWNER EMAIL: RoiDeNeige@gmail.com APPLICANT NAME: Rebecca Ahern APPLICANT MAILING ADDRESS: STREET 2120 48th St SE CITY Everett STATE WA zip 98203 APPLICANT PHONE: 208-794-1327 1APPLICANT EMAIL: RoiDeNeige@gmail.com PRIMARY CONTACT: P OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18 27 ROW and 296.200A WAC. City of Everett Official Use Only PERMIT# PWI7oa-o3� Ow rlAuthoized ntSignature Date (Revised 9/23/2016)