1502 CEDAR ST 2019-01-25 - Laserfiche WebLink

PUBLIC WORKS PERMIT AI 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: (G- 0 2 recut- e-vrr2'(e* Pr 9 gzo) IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL 0 INDUSTRIAL CHANGE OF USE? 0 NO ❑YES, FROM TO - NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK I RIGHT-CW-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: -I Jrl rj-1-5,1 I +h re - 1 Ot k t t/1 r CS ee - ---Y D It/C�I j 41---)51,\,4" fib t,o(tj l51 Z Cedar s�=reef ice. cA) ci�2.oI 1 ktki tmci f Vv AA c(.4-ci,%t A.tS t n c i44ei e C Z ) 3 --i r�, -A 11 G s • )31 FENCE IN ROW C 3) I- is FT IN HEIGHT (3‘,") ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 ASPHALT I CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF ` CONTACT INFORMATION OWNER NAME: P e 1 e r t4 • LCA tkr 15 OWNER MAILING ADDRESS: j rty,0,2 C eCIGar St- arr are Y e r-e.44 STATE CAJ! } zip 9 L?�„t,.7 OWNER PHONE �rJ ' J IS - 5 OWNER EMAIL An A rc.�f. C,.!P ii S 1'1 G1.w, or--1 .,...._,..,� .�,,.....-,..w.. APPLICANT NAME: P V r L e w S S APPLICANT MAILING ADDRESS: STREET ( s 0 2 Ce_d a r Sfi CIN 'p.r. . . STATE IA)l� ZIP t rZOf APPLICANT PHONE: 42.s -4 ;5- 2.2.%-- jAPPLICANT EMAIL: YV1 r^r u . ch „a ssn�T PRIMARY CONTACT: ) OWNER 0,iPPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 42.5 o 3 I s 6 3 5. -7 O q VV) S CONTACT EMAIL: M It r-c\ p Y e viS h ,i,Q) cry-- ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true nd correct. Work done pursuant to this pmit 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,or I am authorized by the owner of this property to perform the work for which application is made,and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT it jcp-te 7 p" " rR b-o`I j Owner/Authorized Agent Signature Date (Revised 10/12/2015)