4621 W VIEW DR 2019-07-31 - Laserfiche WebLink

t iiiej,--A P LIC WORKS PERMIT _ PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 j FAX 425-257-8857 j (E) everetteps@everettwa.gov j www.everettwa.gov/permits i,' :;? fq RO#JEC-T SITE INFORMATION= ` `` PROJECT ADDRESS: 4102,1 1 j e- r V 1014 DIOLI IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.) • SITE WORK FOR PROJECT TYPE:%SFR-DETACHED ❑SFR ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑'COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? INO ❑YES, FROM TO _ NEW WATER/SEWER SERVICE NEEDED? g NO ❑YES,TYPE - SIZE i ;,.._..v SITE WORK%t1 HT OF WAIIi:AV:F 1., CAT1O� " 1 ORly ZteNf DESCRIPTION OF WORK: () jS l Of- (dei�� (? t. r"Af 1 clu 0 FENCE IN ROW — FT IN HEIGHT 446RIVEVVAY APRON/CURB CUT FT WIDE a AffsPHAL4/CONCRETE PAVING 1.b0 SF e (:) (--,/(:::? ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT � ,t4 CLEARING/GRADING/FILL/EXCAVATE 6 CY Viu cbf�c- OUCf, 6r pD ?i�9 1:3CUT/BORE IN PAVEMENT(PARALLEL) LF ., / ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF ; -- ...' CONTACT INFORMhT10N ..,,. _......_ . . .�_ OWNER NAME: A ifk C r ANI" a�a /�,/� OWNER MAILING ADDRESS: STREET 46,24 4V c 1/r Imo . CITY Ouote9/1 STATE COX., ZIP cigme OWNER PHONE:'26 rP/545 OWNER EMAIL: 1A-telee , etik- APPLICANT NAME: /)\tC61 R1 l— Aiter o0 APPLICANT MAILING ADDRESS: STREET 24 U.. ?- V(law) 0!'4 �/�� /�^�� CITY a ��, ~ STATE Y 4' r ZIP '7 2g APPLICANT PHONE. �^ r APPLICANT EMAIL: MCW -4, ke a p ft-&,p ce)�— PRIMARY CONTACT: i'f•WNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAM: �/� �k ►l,,��ppllt�� // CONTACT PHONE: �?1�?1'�'� �t/i� `/AvO CONTACT EMAIL: Aivgg2Alec)O - Z)o L C .�• ACKNOWLEDGEMENT::I have reviewed this application and confirm the information contained herein is true and correct. Work d 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 .--Building Official before being authorized under any circumstance.l am the owner,or l am authorized by the owner of this property to perform the work for , application is made,and!comply with the State Contractors Law 98.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# , 001f 6r/egg__ PW / v - / Owner/Authorized Agent Signature Da (Revised 10/12/2015)