2005 78TH PL SE 2017-08-22 - Laserfiche WebLink

PLIC WORKS PERMIT PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 2005- 78TH PL. SE EVERETT 98204 LOT 5 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED EISFR-ATTACHED ❑DUPLEX []MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? IN NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED ❑ NO n 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 ❑ 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:ALPINE HEIGHTS LLC OWNER MAILING ADDRESS: STREET120 SW EVERETT MALL WAY SUITE 100 ciTv EVERETT STATE WA zip 98204 OWNER PHONE: 360-953-2800 OWNER EMAIL: WWW.SEAPACHOMES.COM APPLICANT NAME:SEA PAC HOMES APPLICANT MAILING ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 ciTv EVERETT STATE WA zip 98204 APPLICANT PHONE:360-953-2800 APPLICANT EMAIL: WWW.SEAPACHOMES.COM PRIMARY CONTACT: ❑OWNER 191 APPLICANT ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME:STEVE SNYDER CONTACTPHONE: 425-319-0122 CONTACT EMAIL: STEVE.SQSEAPACHOMES.COM 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.l am the owner,or I 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# 3-4-16 PW 1 (Dos .-a(Dg OwnerlAuthorized Wgent Signature Date (Revised 10112/2015)