127 BARBARA LN 2019-05-28 - Laserfiche WebLink

Orerr PULIC WORKS PERMIT MrPLICATION 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: 127 BARBARA LN IF APPLICABLE: O LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: O SFR-DETACHED O SFR-ATTACHED O DUPLEX O MULTI-FAMILY O COMMERCIAL CHANGE OF USE? O NO I I YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? O NO O YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION NEW SINGLE STORY GARAGE O FENCE IN ROW FT IN HEIGHT O DRIVEWAY APRON/CURB CUT FT WIDE OASPHALT!CONCRETE PAVING SF O 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: ROUMELIOTIS KIRIAKOS OWNER MAILING ADDRESS: STREET 4420 75TH ST SW crry MUKILTEO STATE WA zip 98275 OWNER PHONE: (OWNER EMAIL: APPLICANT NAME: ROUMELIOTIS KIRIAKOS APPLICANT MAILING ADDRESS: STREET 4420 75TH ST SW civ MUKILTEO STATE WA zip 98275 APPLICANT PHONE: (APPLICANT EMAIL: PRIMARY CONTACT: O OWNER O APPLICANT O OTHER(Architect, Engineer, Etc.) CONTACT PHONE:4253778786 CONTACT EMAIL: MREIMERS@CONCEPTARCHITECTURE.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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# PW1710-009 Authorized Agent/Owner Date (Revised 10/12/2015)