2524 CHESTNUT ST 2018-04-24 - Laserfiche WebLink

��rc wo��cs ��nni� �►��i��Tro� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everet�twa.gov/permits , � : : PROJEGT SITE 1NFORMATION : � � �.�: �.; n,,. :,x..�_.,. z��w� �o_,.. ,�.� .,�,_,:._ ��:. ��..� .a., r. .� ,.., ��.... PROJECT ADDRESS: ��2� ��li1 '� � � � IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:CISFR-DETACNED ❑SFR-A7TACHED C�DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑NO ❑YES, FROM TO - NEW WATER/SEWER SERVICE NEEDED? ❑ NO ❑YES,TYPE • SIZE ,., u. . _. . . . : ; SITE WORK 1 RI�GHT OF-WAY;APPLICATION 1`N��ORMATION „ , � DESCRIPTION OF WORK: `'�GX�Q,�jrl �1 �GTiI'� . f�2�?'/ � �� �%d��' �� 2��° ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT ' FT WIDE ❑ASPHALT/GONCRETE PAVING SF ,• � � � �� ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF � � ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT �. � h,�� Q r� ��7 ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE W PAVEMENT(PARALLEL) LF �;�� j�+ ]E�I',a �.�,'�`�` ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) �F �'I a�i r�i n r �%��. : . , - - - CONTACT INFORMATION _ . . . .., . ,.. ;:: .. OWNER NAME: � I`��0'�� OWNER MAILING ADDRESS: s-rReer /�� /v c9 � CITY STATE � ZIP 7GJ `'✓� OWNER PHONE: OWNER EMAIL: APPLICANT NAME: �� APPLICANT MAILING ADDRESS: sTReer cirr srn� ziP APPLICAN'T PHONE: � ^' �-� � APPLICANT EMAIL: . =Pi'� _ _ ' PRiMARY CONTACT:�{CI OWNER APPLICANT ❑OTHER(Architect, Engineer, E#c.) CONT CT NAME: � CONTACT PHONE: .�Z,�(�i� s��`if�s/ CONTACT EMAIL: ACKNOWLEDGEMENT.�l have reviewe this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,sfate,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!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 Evereft Official Use Only PERMIT# � �� `�� �� p� �� 1 Owner/Authorized Agent Signatu ate (Revised 10/92/2095)