1932 VIRGINIA AVE 2023-05-26 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT9UBMRTAL INSTRUCTIONS Email xmnlkeRn 8 submlMl earmarks W Pxmtla.rvlm¢♦$ee'i.nRvagaror Mae M at 3An CBEs away are Bear Drop Sao WASHPINGTON CONTACT INFORMATION. fl A2S25788101 (E) Permtsmirvlces@averabod w I(W)evmetlxa.pw/Pormils PROJECT SITE INFORMATION PROJECT ADDRESS: 1932 Virginia Ave. Evere11, We SITE WORK FOR PROJECT TYPE: OSFR-DETACHED OTOWNHOUSE ODUPI rx DAOV OMW TI FAMILY OCOMMERCIAL OINDUSTRIAL IF APPLICABLE: O )AND USE PROJECT N (SERA, PRE-APP, SS. ETC.) IF APPLICABLE: I[DFRANCHISEAUTILITY COMPANY, ANNUAL BLANKET PERMIT N UTILITY COMPANY'S NAME B JOB Ak JOB k: DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: 00 FENCE IN ROW 6 FT IN HEIGHT ❑ DRIVEWAY APRON I CURB CUT FT WIDE O ASPHALT I CONCRETE PAVING SF ❑ RETAINING WALL I ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL I ROCKERY OVER JET IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING) GRADING) FILL I EXCAVATE �CY ❑ CUT)BORE IN PAVEMENT (PARALLEL) LF O CUTSORE IN PAVEMENT(NON-PARALLEq LF ❑ POLE WORK I AERIAL I OVERLASH LF ADDITIONAL DESCRIPTION AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STOHMWATER DISCHARGES TO: OOomblned Saver O 9eparaMd Storm Seder G Dead Discharge to Suoomisb River car Puget Sound TRIGGEREDREOUIREMENTS: Ellibb EIMRPS [3MR1.9 Ny QUANTITY OF PROPOSED HARD SURFACES: Proposed RON Area: SF Proposed rimpapa: BE Total Nary• Replaced. SF Replace existing fence from south west corner of house to existing driveway with 6It high solid fence. Total length Is approx. So, replace existing nveway gate wit new In. highan a visibility tots lengthapprox. 13 0 IN, lix, Ili till IdIONS If IS Car I.N1 12 nal III app ON CONTACT INFORMATION OWNER I APPLICANT NAME: Larry Pmulx OWNER IAPP. MAILING ADDRESS Ear 1932 Virginia Ave. Everett ATATE Wa, ri, 98201 OWNER I ARE. PHONE: 425 309 5608 OWNER I APP. EMAIL:Iarryandlari@lrontieccdrn 'Required for Work In Public Righto! Way CONTRACTOR NAME: CONTRACTOR ADDRESS: ATREET CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE AREW IRED): EVEREET BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER I APPLICANT ❑CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ACKNOWLEDGEMENT I have reWmwd this appearance amid wained Me mrampation mnhimd M1erem is hue aM cone!. Weak dery pxsuanlro this Rop it must comply add moan r ,,slate, and Wool lawme greningW a power any aur/wmes Appeared awk add pro dewatlans mrehwn. DeviarMns mratNA de, aNlMmd M mirria hard Me Bulldmg OMcbl behre beWg eNlMmtl underanycheerleader. I am the owner, a l and rawkrded by Me owner dthis propety, to perWrm lire work for Muco appeal is plower and I comply n+M the State Conhicame; Law 1827 RCW and 266.20oA WAC. Cry of Everett OMnal Use QMy FERMI Larry T. Proulx 12/27/2022 IPW 19 Ownerolrthorilid Agent Signature Date (ReWed MLV2022)