3231 COLBY AVE 2019-01-28 - Laserfiche WebLink

PLIC WORKS PERMIT PIPLICATION '4 > 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:3231 COLBY AVE IF APPLICABLE: CI LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) AI IA' SITE WORK FOR PROJECT TYPE: O SFR-DETACHED OSFR-ATTACHED O DUPLEX O MULTI-FAMILY =COMMERCIAL CHANGE OF USE? 1X.NO O YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? kI NO o YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: SITE WORK FOR UNITY CENTER FOR POSITIVE LIVING o FENCE IN ROW FT IN HEIGHT CI DRIVEWAY APRON/CURB CUT / FT WIDE WASPHALT/CONCRETE PAVING /t? SF I= RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT O CLEARING/GRADING/FILL/EXCAVATE CY O CUT/BORE IN PAVEMENT(PARALLEL) LF O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: UNITY CENTER OF POSITIVE L OWNER MAILING ADDRESS: STREET 3231 COLBY AVE crry EVERETT STATE WA ZIP 98201-4306 OWNER PHONE: (OWNER EMAIL: APPLICANT NAME: WALKER MILES APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: 4252590868 (APPLICANT EMAIL: MILES@BNHARCH.COM PRIMARY CONTACT: O OWNER 'APPLICANT CI OTHER(Architect, Engineer, Etc.) CONTACT NAME:WALKER MILES CONTACT PHONE:4252590868 CONTACT EMAIL: MILES@BNHARCH.COM ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work 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. I am the owner,or I 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# PW1609-068 Authorized Agent/Owner Date (Revised 10/12/2015)