1921 78TH PL SE 2017-06-29 - Laserfiche WebLink

F BLIC WORKS PERMIT PPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-?_57-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 1921- 78TH PL. SE EVERETT 98204 LOT 11 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 TO NEW WATER/SEWER SERVIGE NEEDED � N� �YES TYPE 6 INCH SIDE SEWER S17_E 1 INCH METER SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: ❑ FENCE IN RO�V 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 lNON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: �PINE HEIGHTS LLC OWNER MAILING ADDRESS: s7F�F-120 SW EVERETT MALL WAY SUITE 100 cin• EVERETT ;r.�;� wA ,;? 98204 OWNERPHONE: 360-953-2800 OWNEREMAIL: �W.SEAPACHOMES.COM APPLICANT NAME:SEA PAC HOMES APPLICANT MAILING ADDRESS: sTr;�Er 120 SW EVERETT MALL WAY SUITE 100 Ci�r EVERETT sr.�,�r WA zi? 98204 APPLICANTPHONE:360-953-2800 APP�ICANTEMAIL: WWW.SEAPACHOMES.COM PRIMARY CONTACT: ❑ OWNER �7 APPLICANT ❑ OTHER(Architect, Engineer, Etc.) ____ CONTACT NAME: STEVE SNYDER CONTACT PHONE: 425-319-0122 CON7ACT EMAIL: STEVE.S@SEAPACHOMES.COM ACKNOWLEDGEMENT.•I have reviewed this applicatron and confirm the information contained herein is frue and correct. Work done pursii�nt to ihrs permit must comply with current feoeral, state,and local law. The granting of a permit only authorizes approved work and no deviatrons therefrom. Ueviations must first be authorized in writing from the Building Official before being authorized under any circumstance. !am the owner,or 1 am authorized by the owner of this property to perform the work for hich applicatron is made,and f comply with fhe State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 3-4-16 � v y Owner/Authorized Agent gnature Ua:e (Revrsed 10/12/7_01.5J