2402 VIRGINIA AVE 2019-04-18 - Laserfiche WebLink

.;�►! _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ZI-402.— 1/:C((v�,a C i - - 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? 0 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK I RIGHT-OF-WAY APPLICATION INFORMATION� � DESCRIPTION OF WORK: IV ) 1 p(.L-1 I1 ❑ FENCE IN ROW FT IN HEIGHT „. = ykA fir o DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF OCT2 C F�errnit ��vi�� o RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF (� U ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT`' �� E V T�` �c�� ❑ CLEARING/GRADING t FILL/EXCAVATE CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: W 1 t 1 n.W`, 2-a.WO_ A OWNER MAILING ADDRESS: STREET 2.' �;OZ- V b�aC . ict �f] CIN � ESTATE ZIP 12- ) OWNER PHONE:20� -'1'CZ-5Ct OWNER EMAIL: z-eaW 1- c Q C'J.:.., 60-vv .,.. ......._�.w._.�. APPLICANT NAME: APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL.r_., PRIMARY CONTACT: 0 OWNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ACKNOWLEDGEMENT:/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.lam 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# r PW / /0 -088 ,A - //de/ !0 24 /Z - - Owner/Authorized Agent Signature Date (Revised 10/12/2015)