4602 W VIEW DR 2018-02-09 - Laserfiche WebLink

- - oren_ PLIC WORKS PERMIT AWLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: L/yj 2 I/J � e t r° �� & IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ['COMMERCIAL DINDUSTRIAL CHANGE OF USE? 0 NO 0 YES, FROM TO NEW WATER I SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: //V_5771- c0 iVC l� ✓�G33//✓✓rte►✓i� c" rye AC c I\C',c,C e ci✓rye kicc to SCIl cm ctnd ad ,c�Cer -o S'J1rec y ❑ FENCE IN ROW FT IN HEIGHT ❑ DD IVEWAY APRON/CURB CUT FT WIDE I AASPHALT/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 0 CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: / 4Y1 �r� �' OWNER MAILING ADDRESS: STREET L/6 Ci 64k5---)1- V t e ',/ U 27 CITY F Ike/ ? STATE I/V ' ZIP CY O -c 3 OWNER PHONE LS as-2_ 41 8o OWNER EMAIL: L , rcA j 1 .5 Q 4-etz erd ✓)�� APPLICANT NAME:-77m ,Q,j--/'1<--et/ APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: 5 APPLICANT EMAIL: PRIMARY CONTACT: EI OWNER 0-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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# (J 1 Owner/Authorized Age Signature Date (Revised 10/12/2015)