2502 WALNUT ST 2018-04-18 - Laserfiche WebLink

UC • Ca KS PER 'Ii —1PUUCAT ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everetlwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: jj 5/(,,,/e" V J 4 IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL CI INDUSTRIAL CHANGE OF USE? ❑ NO 0 YES, FROM TO - NEW WATER 1 SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE . SIZE SITE WORK/RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: > t.-t4t.k 164 vrr ARA r etc A' ..4 �.d t ❑ FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ' ❑ASPHALT/CONCRETE PAVING SF €. "' ✓ ''r Jr ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF .). 0 2 9 2018 ,9 o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEI�"T ❑ CLEARING/GRADING/FILL/EXCAVATE CY �' TP � ❑CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION. . OWNER NAME: � v7I4 44 4 Mt j 4 �. ,. , 'Iiw4D I t ^d L . OWNER MAILING ADDRESS: STREET jI ;41 /oi P CITY (j STATE + ZIP OWNER PHONE: to, 'I 100OWNEREMAIL: A6a-ivt'f �" e 1g' #O0 APPLICANT NAME: APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: oOWNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: i 5 4- Me g/t t:,, 14.. CONTACT PHONE: j4„94, '-.Z 11.o}{o , „y�•,,/ Ls [5;(6.14-C CONTACT EMAIL: 4l.+4.►lit•4ALA, .41w e. aw/l ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. ork 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.lam the owner,ori 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# Owner/Authorized Agent Signature Date (Revised 10/12/2015)