5005 SEAVIEW WAY 2018-02-26 - Laserfiche WebLink

4L- Pt LIC WORKS PERMIT PLICATION 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: 673(7J kA)cc,'t (,41A- • q03 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TY�P SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY DCOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? `t'I NO ❑ YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? NU ❑YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION1— INFORMATION IL DESCRIPTION OF WORK: riYGZ462- j& y 1'FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF E RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 4c LF O RF-AINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CLEARING/GRADING/FILL/EXCAVATE CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: JC_pt-*- _X,Kq\ �t tet_ OWNER MAILING ADDRESS: STREET �G�v� ‘1.,S4�.S r30.1J.C-- CITY STATE ZIP OWNER PHONE: 7,0(0 • '41Cv^ S OWNER EMAIL: C-(71-t• . L �/lf2Gt�a t�C�y� "S'rL �S• " 1 APPLICANT NAME: -5 LolL , APPLICANT MAILING ADDRESS: STREET 1A.- L t .440 0-e._ CITY STATE ZIP APPLICANT PHONE: iwt-- — APPLICANT EMAIL: PRIMARY CONTACT: OWNER 0 APPLICANT 0 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 111) js6A, 1C (//ik: PW I60$-ops • ner/Autho•zed Agent Si• re ate (Revised 10/12/2015)