3731 HOYT AVE 2018-05-21 - Laserfiche WebLink

��,�� ,��'�� 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 P120.1E�7' S!`I'E II�FORMATIOPI PROJECTADDRESS: c> 7�� j l I �(� �V��-�-< < ��ZC% IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:OSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑ NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEaED? ❑ NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-W�1Y APPLICATION INFORMAT101d DESCRIPTION OF WORK: �-�ENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAIN(NG WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUTlBORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: �R�\L S 'FC, 6��--Q-- OWNER MAILING ADDRESS: sTReeT ' f �Jbr ��F� S� � CITY �(/��r1 STATE V�.I/�t-� ZIP ` �� OWNER PHONE: OWNER EMAIL: ..... ._... ... ....., _...... .. .. .....:..... . . APPLICANT NAME. .,n.E w G -c:Jr APPLICANT MAILING ADDRESS: sTReer (�jC�rJ `� ' CITY � � �:i� STATE � `7 ZIP � (�� APPLICANT PHONE: �2 �j•-ZZ O -9 1 (.p APPLICANT EMAIL: _... .._... .,. __._. . PRIMARY CONTACT: j�-OWNER �-APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: . �w� ��_ CONTACTEMAIL: ACKNOWLEDGEMENT.�I have reviewed this application and confirm the information contained herein is frue and correct. Wo�k done pursuanf to this permif must comply with currenf federal,state, and local law. The granting of a permit only authorizes approved work and no deviations the�efrom. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform fhe work for whicfr application is made, and 1 comply with the State Confractors Law 18.27 RCW and 296.200A WAC. City of Everett Otficial Use Only PERMIT# ,. , ��22 ; � PV�/ 1��-03� , Owner/Authorized Agent Signature Date (Revised 10/92/2015)