2425 39TH ST ROYELL MANUFACTURING INC 2019-12-09

Pl1 L.IC OR.KS PERMIT Al 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 PRO JECT SITE INFORMATION PROJECT ADDRESS: 2 V- 2 3' 9 IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX DMULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? *1-0 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? gl NO 0 YES,TYPE SIZE SITE,WORK I RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: /)/�?& n(1 l✓I)!/L l /�/d �I(t h/ ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE 0 ASPHALT/CONCRETE PAVING SF D I . ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY '9 I LF o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGH JUL2017 ❑ CLEARING/GRADING/FILL/EXCAVATE CY CITY OF EVERETT o CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LFk ;;, f' , c„ �� (�j CONTACT INFORMATION ; OWNER NAME: T/, .5 ` ' j/ %3 ! fl4e v11`. OWNER MAILING ADDRESS: STREET / , 0 p' 0.k . .'.---14,5-9 / 11 —5-7 STATE ZIP 'A.* J JP' OWNER PHONE: r , /� OWNER EMAIL: c�1/12f,,,, ler 4 I s..... 4 r 5 /14 d h,,.. .. APPLICANT NAME: '7 7 M 72-r.,40 //c, (7 y� 0' /2�X r%/7�// i "/ �p APPLICANT MAILING ADDRESS: STREET 0 S G�1 / / �v L 7 CITY //4-7/ JSTATE ZIP p ` APPLICANT PHONE: 12q' „V b 9 ez 2r -"APPLICANT EMAIL`±e71✓,Se pRr q 67 a <l pe -PO 1-?2 PRIMARY CONTACT: 0 OWNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# '(..;* , 7/ /./7' s ' s P f ()I- 055 Owner/Authorize.gent Signature Date / (Revised 10/12/2015)