1332 E MARINE VIEW DR 2018-01-10

PI�LIC WORKS PERMIT �LICATION 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 PROJECT ADDRESS: � �_j Z [ ._�!�� VI �Z<.� -�-�� 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? 1d NU ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? NO ❑ YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION � DESCRIPTION OF WORK: C c�vS�,ti�=�T �'�'�=-�' ��=��- G..�'✓'r�-�-z 71'�z�� `� S% I 4`�v� O r—��2,vt�v,a ❑ FENC� IN ROW FT IN HEIGHT ja'D IR VEWAY APRON/CURB CUT � -� FT WIDE ❑ASPHALT/CONCRETE PAVING �� v 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: I`�l� � � �f I=rJ,��`� S t=Y� OWNER MAILING ADDRESS: sTReeT / �-�'- L 1��A,2�;�� 'V� �� '.�� CITY �v C'��'' �---�� STATE �-'� � ZIP �Z�l L� I OWNER PHONE: �Z-J - L(C •- �Z �y OWNER EMAIL: •h��'�=�;z�+;S c>2 G�C is!Ml4.y7'i1i1'� APPLICANT NAME: �a� C��sc» i�,:-?�� .-�-(-L•�5 �� - APPLICANT MAILING ADDRESS: srReer =-l`iG'�� -de-r-'� �-+�es C%M � � CITY ��-1 G�-� STATE �'4 Z�p�u L"J I APPLICANT PHONE: �ZS Sv�>' �� APPLICANT EMAIL: L��-?-b'S��'vC`'}-��`�r'c c��r c=S- �t� PRIMARY CONTACT: ❑ OWNER APPLICANT HER(Architect, Engineer, Etc.) h��i� .��=' CONTACT NAME: CONTACT PHONE: y�eZ� �z� y 7 S� L.�� L-.5�;� CONTACT EMAIL: �'GL. ��Se.L �% ;�i,�i��c c. ,�.�< <-S_ c�•-`, ACKNOWLEDGEMENT. I have reviewed this application and confirm the information contained herein is true and cor�ect. Work done pursuant to this permit must comply with cur�ent federal,state, and local law. The granting of a permit on/y authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Burlding Official before being authorized under any circumstance. 1 am the owner,or I am authorized by the owner of this property to perform the work for which applicafion is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everetf Otficial Use Only � _ PERMIT# ��/�� PW �� /Z�/ 7 Owner/Authorized Agent Signature Date (Revised 90/12/2015)