7500 HARDESON RD 2017-06-12 - Laserfiche WebLink

PtMLIC WORKS PERMIT APPLICATION 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 PROJECTADDRESS: 7500 _14acr SOP" IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:ID SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? )A NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 19f NO ❑YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION L DESCRIPTION OF WORK: �Wtova. -� C'la$ atw V t ►� O i h IW -F c- C,4-& .A_ r ✓i r i �: ro rte. c�� o ►.i,, CO 0. w S Lai ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF r"___"1 ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF n'VIE El WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIG ��JJ (J CLEARING/GRADING/FILL/EXCAVATE 8� S3 3 CY APR 0 1 2016 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF �+_�. E3CUT/BORE IN PAVEMENT(NON-PARALLEL) LF '� OF EVERETT Permit Servir�?s f CONTACT INFORMATION OWNER NAME: 4a-ILS01" LLC.- OWNER MAILING ADDRESS: STREET 3 6 b( Co b A/4 hk 1., [� CITY 'EvALr'- T STATEW 14 ZIP 1 Q O z O OWNER PHONE: (L(ZS� ZS 9 - 9 00 b CIDS OWNER EMAIL: ft T2,6;,, 4-r, M - Com APPLICANT NAME: 40_rR_J O L e- 1C APPLICANT MAILING ADDRESS: STREET 3 60 ( W f 18 q Q CITY lEve.rte. t STATE W ZIP --0 APPLICANT PHONE: y t-S JAPPLICANT EMAIL: O-r-� lam?-06 -e- PRIMARY CONTACT: 'OWNER ❑APPLICANT ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: Z�b� Q 1 CONTACT PHONE: Z i/--/s } 4 S Z S 9- 9 o a o X Z CONTACT EMAIL: / a, (2) I re M 't GoM 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. /am the owner,or/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# 3 3r rb PW 16nz _ n q Owner/Authorized Agent Signature Date (Revised 10/12/2015)