3310 MCDOUGALL AVE 2019-09-06 - Laserfiche WebLink

#11111°°' I IC WPERMIT A` J'iiii LICATION 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: j'310 \4/V 9.A6 Til/ IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY ..I2rCOMMERCIAL El INDUSTRIAL CHANGE OF USE? NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? O YES,TYPE -Ft lig SIZE iii eje SITE WORK/ RIGHT-OF-WAY APPLICATION,.,,, �� INFORMATION �. DESCRIPTION OF WORK: , F'do©o© � wkitet t ",ss 4 ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT }' FT WIDE �� P� , �� a ��,� I t '.3 . ' & ❑ASPHALT/CONCRETE PAVING SF I L°j ' I O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF Q O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIHT, y or F 0�/r=.spa`.,r T t' 0 CLEARING/GRADING/F!LL/EXCAVATE CY Pe rrni WV'p >..A ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: k - t,LL. .911,41E61. I NIA)V eSNEIA--n— OWNER iOWNER MAILING ADDRESS: STREET —t+,.q0 . ( S4 c9 c/�� j� .,,n � (( CITY 0I3' I �u1 \ STATE ZIP 1 Z IC7 OWNER PHONE 4 fj`1 ^0700 L OWNER EMAIL: we t l>L.Aitta ‘ APPLICANT NAME: APPLICANT MAILING ADDRESS: STREET t;! CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: —.--„- „ / PRIMARY CONTACT: WNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CON NAME: CONTACT PHONE: 425 7�� ^O 7� � t\C-k)LJ j} CONTACT EMAIL: L,\o d 0 LAAAy ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant t 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 lam authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ) - 694.5 0 20k 7^- PW 17040 -D/S Owner/Authorized Agent Signature Date (Revised 90/92/2095)