3806 WETMORE AVE 2017-08-11 - Laserfiche WebLink

P ""� IC WORKS PERMIT ��LICATION CITY OF EVERETT PERMIT SEKVICES i 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 PROJECT ADDRESS: ^: `��.' ,'' ` . L �� -�1 . - e ,- ,�i_ "' �� ` �T��L� ' IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:L�SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? �NO ❑ YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? L�J"NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: �1-��r�N- -�v�>,.•t� i ��.��.��r� �� r��-..ti irr- _�rvb-' ��}�� j�t�,�:( �i,-L�_ t�'3 ��a.=�r_ r' I l� ] J �lrii.�' ?•"!:� c:�Y?ei^. jlc:�.l �c'Y��i'1�t et� •, h')��`<-1 �Ir�,t,_. 1)� )�'J � ��rl.� C.�r?'lY�2..'.2.-. �1�.5. ❑ 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: �• ! 1 '� t�;y��. OWNER MAILING ADDRESS: STREET ��`rL^ l�� `1F`�'E� �'� • CITY � ��h'�'�� STATE 'V� ZIP r� .%S I�;-�� OWNER PHONE: `I C.� _ z'a i:` � _ <).�Zi-('.t{: OWNER EMAIL: :?f�v. __�1:.�.0-� ,.;,',�1 ..�; i� twi:c�, c��;��t _ _ __ APPLICANT NAME: APPLICANT MAILING ADDRESS: sTREeT C�7y STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: _ _ __ ._. _ _ _ _ _ PRIMARY CONTACT: 0 OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME; CONTACT PHONE: CONTACT EMAIL: ACKNOWLEDGEMENT. 1 have reviewed this application and confirm the informafion 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 devrafions therefrom. Deviations must first be authorized rn writing from the euilding Official before being authorized under any circumstance. 1 am the owner, or 1 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# ' �,i`,�,��j?C�.il'Jt. � l"�:.�LL�Y:�y� � Y Y �� / f7 Owner/Authorized Agent Signature Date (Revised 90/12/2015)