812 35TH ST 2019-08-08 - Laserfiche WebLink

eip PLICLIC WORKSPERMIT AI ?LI ATI N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 ( FAX 425-257-8857 I (E) everefteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8/a 35 IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? ❑NO ❑YES, FROM TO NEW WATER 1 SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK[RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: 0 elik dnintrayr d4/Ace `��i nt/plckhrudgv (Ise/a/4P Gy1 /-op ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE t : \ 1` `1- ❑ASPHALT/CONCRETE PAVING SF �� t '4,;..° "" ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIG No Mi2018 CLEARING/GRADING/FILL/EXCAVATE g50 CY cI �} � ��TT ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF permit SerVIC ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: NIOLC ST2/C7 OWNER MAILING ADDRESS: STREET P,2, evx 6// CIN /144X2a`� STATE L.J1 ZIP ,77/ Z 7 Z OWNER PHONE: 1/Z-S' 3,30 ^ !' -7C' OWNER EMAIL: is-/2/Cli ex-4/2 9Ys#,f74 GSI APPLICANT NAME: ' S�L:- r--- APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: KOWNER 0 APPLICANT 0 OTHER(Architect,Engineer, Etc.) CONTACT NAME: CONTACT PHONE: Lf 5- 337 -- 02 70 Zr - S7,e/C/ /,jt'O CONTACT EMAIL: Jr r /G,rLm Z42 PJ y, 6/11-/L .CU!,1 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 author'zed under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which applic- "= made,an• comply the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ...40p../ PERMIT# -3— a PW / J • 620 Owner/Authorized Agent Si. ature Date (Revised 10/12/2015)