2021 LEXINGTON AVE 2018-05-22 - Laserfiche WebLink

l��f��,�� G�� f�CG��1�ia`l! �� LO� �;ll��?1 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 9820'1 (P) 425-257-88�0 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits _ _ 6��A�G�' ��'� 9��96�d�`�'a�� PROJECT ADDRESS: �CJ Z � �E"lC(r` � l :�'t��G IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE VVORFC FOFZ PROJECT TYPE:�SFR-DETACHED ❑SFR-A-iTACHED �DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHA�lGE OF USE? NO ❑YES, FROM TO NEW WATER/SEVVER SERVICE fVEE�ED? XC� NO ❑YES,TYPE SIZE SO`d'� VV��9K/ RIG�1`T��=WA�` A��LOCd�`T'A�RI ��FORMA7'1�� ^ l ` '-�� l,l.� DESCRIPTIOIV OF WORF(: 1�l l�L�' �'et� C e � L' �i ' � FENCE IN ROW � 2 FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT W1DE ❑ASPHALT/CONCRETE PAVWG SF ��t 4�� _.,� � �� , � � t�..�' :.i �.. P::'�; � ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF � I ' ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT '`-�� 2c��1 � � ❑ CLEARING/GRADING/FILL/EXCAVATE CY �F Z��/�'�''^ � ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF �H ��'' ❑ CUT/80RE IN PAVEMENT(NON-PARALLEL) LF CONTAC°1' IN�OR1ViA'�'ION OWNER NAME: G`E'1 [� `'�C�C / OWNER MAILING ADDRESS: sTRee-r CIZ2- �j �+� ,J�� (� � CIN � S(i � 1� STATE �� ZIP �/L Z�. OWNER PHONE: OWNER EMAIL: �CTe �1U�-lC l�C �� , ..:�_..... ....... .,� .,,. ,� r. APPLICANT tVAME: �v'� � ��t��C APPLfCANT MAILIPVG ADDftESS; sTReET C 2 2- �� Z � � L� NL CITY � S Lj i STATE L.�� ZIP�'t c'C � APPLICANT PHONE: APPLICANT EMAIL: ..._,. ,.-,_,. .. :._,.�.. . .....__._ �....., _. _.. PRIMARY COIVTACT: ❑ OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT MAIVfE: COIVTACT PHONE: 2�— 2 �C�•- �� ! COi�1TLa,CT EI111d�IL: ACKNOWLEDGEMENT.�l have reviewed this application and confirm the informafion contained herein is frue and cor�ect. Work done pursuant to this permit must comply with currenf federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in w�ifing from the Building Otficial before being authorized under any r,ircumstance.I am the owner,or l am authorired by the owner of this property to perform the work for which application is made,and I compiy with the State Contractors Law 98.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMiT# � � �-� - � 7 �� -v lr-� ao � Owner/' horized Agent Siynat e Date (Revised 90/12/?_015)