2328 103RD ST SW 2019-08-20 - Laserfiche WebLink

OLT PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2328 103rd St SW (Parcel 00538200002200) IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:ESFR-DETACHED ESFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY gICOMMERCIAL DINDUSTRIAL CHANGE OF USE? NO D YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? VI NO ❑YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Restore wetland and buffer per the approved Restoration Plan o FENCE IN ROW FT IN HEIGHT [�'� ❑ DRIVEWAY APRON/CURB CUT FT WIDE �� ; j\��\V//�7 1 ' Z \ ❑ D E.:, ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF NOV 2 1 2017 J o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIG T cd CLEARING/GRADING/FILL/EXCAVATE 100 CY CITY OF EVERETT Permit Services o CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Kenneth Smith OWNER MAILING ADDRESS: STREET 7810 44th Ave W cnTy Mukilteo STATE WA ZIP 98275 OWNER PHONE: 425.31 9.7841 OWNER EMAIL: allcountyseptic@aol.com APPLICANT NAME: Kenneth Smith APPLICANT MAILING ADDRESS: STREET 7810 44th Ave W CITY Mukilteo STATE WA zip' 98275 APPLICANT PHONE: 425.319.7841 APPLICANT EMAIL: allcountyseptic@aol.com PRIMARY CONTACT: 0 OWNER 0 APPLICANT g OTHER(Architect, Engineer, Etc.) Wetland Ecologist CONTACT NAME: CONTACT PHONE: 425.337.3174 John Laufenberg, Wetland Resources, Inc. CONTACT EMAIL: john@wetlandresources.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# 6„,0- PW f(--0 3 Ownet/Authorized Agent Signature Date (Revised 9/23/2016)