1911 78TH PL SE 2017-06-29 - Laserfiche WebLink

P��3LIC WORKS PERMIT _ =:�PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � {E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 1911- 78TH PL. SE EVERETT 98204 LOT 15 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)__ SITE WORK FOR PROJECT TYPE:�SFR-DETACI-IED �SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? � NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED � NO �]YES TYPE 6 INCH SIDE SEWER SIZE 1 INCH METER SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWRY 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: ALPINE HEIGHTS LLC OWNER MAILING ADDRESS: srR=E�120 SW EVERETT MALL WAY SUITE 100 C�7�' EVERETT S7t�� WA z�p 98204 OWNER PHONE: 364-953-2800 OWNER EMAIL: �W.SEAPACHOMES.COM APPLICANT NAME:SEA PAC HOMES APPLICANT MAtLING ADDRESS: srReer 120 SW EVERETT MALL WAY SUITE 100 crrv EVERETT s�a;F WA ziP 98204 APPLICANTPHONE:360-953-2800 APPLICANTEMAIL: WWW.SEAPACHOMES.COM PRIMARY CONTACT: ❑ OWNER � APPLICANT ❑ OTHER(Arrhitect, Engineer, Etc.)_ C�NTACTNAME: STEVE SNYDER CONTACTPHaNE: 425-319-0122 CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM ACKNOWLEDGEMENT:l have reviewed this applrcafion and confirm the information contained herein is true and correcf. Work dnne pursuant to this permit must comply with current federal,state,and local law. The yranting of a pennrt only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official 6efore being authorized under any circumstance. I am the owner,or I am authorized by the owner of this propeity to perform the work for which applicatron is made,and(comply wrth the State Contrac�ors Caw 18.27 RCW and 296.200A WAC. City of Everetf Olficial Use Only PERMIT# 3-4-16 1 V V I lP�� '�D�� OwnerlAuthorized Agent Signature Da;e (Revised 1�/12/2016)