7215 LOWER RIDGE RD 2017-10-24 - Laserfiche WebLink

P LIC WORKS PERMIT PUCA 'ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: !y ca a j °r 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 SERVICE NEEDED? ❑ NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: % z O r ❑ FENCE IN ROW FT IN HEIGHT V E❑ DRIVEWAY APRON/CURB CUT FT WIDE D E 'ElASPHALT/CONCRETE PAVING SF El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF JAN 3 0 2017 ID 11 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CITY OF EVERETT ❑CLEARING/GRADING/FILL/EXCAVATE CY Permit Services ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: OWNER MAILING ADDRESS: STREET 9 yg CITY _ STATE 1A.114 ZIP OWNER PHONE: Lj ZS Z L(✓fid OWNER EMAIL std t`S' r' C� L`tr?. APPLICANT NAME: ie s ,. /rte L10114 01 APPLICANT MAILING ADDRESS: STREET CITY ® STATE ZIP APPLICANT PHONE: "L _ L'r APPLICANT EMAIL: ' PRIMARY CONTACT: ❑ OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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. 1 am the owner,or l 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 v -&Y C/3' PW Ownd/Alltthorized Agent Signature Date (Revised 10/12/2015)