Laserfiche WebLink
IOLT PUU IC WORKS PERMIT AP"LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3214 KROMER AVE <br /> IF APPLICABLE: ITTI LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE: =SFR-DETACHED LISFR-ATTACHED =DUPLEX =MULTI-FAMILY r-ICOMMERCIAL <br /> CHANGE OF USE? u NO = YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? I NO Ti YES,TYPE SIZE <br /> • <br /> SITE WORK! RI. T-, <br /> • A14PP INFORMATMC►N <br /> DESCRIPTION OF WORK: NEW SFR <br /> O FENCE IN ROW FT IN HEIGHT <br /> O DRIVEWAY APRON/CURB CUT FT WIDE <br /> =ASPHALT/CONCRETE PAVING SF <br /> O RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> O RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> O CLEARING/GRADING/FILL/EXCAVATE CY <br /> Ti CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> O CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: MILLER ALAN/GLEN W <br /> OWNER MAILING ADDRESS: STREET PO BOX 12602 <br /> crry EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: 4254222392 !OWNER EMAIL: <br /> APPLICANT NAME: DAVID SOULE FRAMEWORKS DRAFTING <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: 3608489832 'APPLICANT EMAIL: frameworksdesign@gmail.com <br /> PRIMARY CONTACT: O OWNER O APPLICANT O OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: DAVID SOULE FRAMEWORKS CONTACT PHONE: 3608489832 <br /> DRAFTING <br /> CONTACT EMAIL: frameworksdesign@gmail.com <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> 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 <br /> 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 <br /> perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> PW1711-025 <br /> Authorized Agent/Owner Date (Revised 10/12/2015) <br />