2021 LEXINGTON AVE 2018-03-07 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION 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 PROJECTADDRESS: ZOZ'I L@XICI ton Ave SE, Everett, WA-�`'�� IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ODUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? � NO ❑YES, FROM TO NEW WATER I SEWER SERVICE NEEDED? ❑ NO 0 YES, �YPEneuj�yu�f.�T'V�c,C��U�lk�� IZE 1� SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION oescRiPTiorv oF woRK: Existing SFR to be removed/replaced with a new duplex. Existing driveway to be removed and two new driveways to be constructed taking access from the alley to the west. ❑ 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 145 CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION owNER Na,ME: Haack Brothers, Inc. - Joel Haack OWNER MAILING ADDRESS: s-rREeT 3922 87th Ave NE CITY Marysville STATE VV� ZIP ��27� owNER PHONE: 425-397-7360 OWNER EMAIL:loel@haackbrothers.com APPLICANT NAME: Sar1�1@ aS OWC121'. APPLICANT MAILING ADDRESS: sTReer CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: � OWNER ❑APPLICANT �OTHER(Architect, Engineer, Etc.) Omega Engineerinq CONTACT NAME: CONTACT PHONE: 425-903-4852 Rachel Jacobs CONTACT EMAIL: CBCIIeI ome a-en .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. 1 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# vhe� � ,� � � ��7 PWI� D �— db O erlAuthori Agent Signature Date (Revised 9/23/2016)