2923 COLBY AVE 2024-10-24 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits IN PROJECT ADDRESS:2923 Colby Ave Everett, WA 98201 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY BCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB M FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE` DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW FT IN HEIGHT STORMWA TER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS.- El EQUIREMENTS:❑CLEARING/GRADING/FILL/EXCAVATE CY ❑MR2 Only ❑MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: @ CUT/BORE IN PAVEMENT(NON-PARALLEL) 37 LF Proposed Roof Area: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): ITotal New+Replaced: SF See A-}+AC1ke4 RIASS, OWNER/APPLICANT NAME:Boyle Investments LLC OWNER/APP. MAILING ADDRESS: STREET2923 Colby Ave ,n Everett STATE WA ZIP 98201 OWNER/APP.PHONE:425-374-5783 OWNER/APP.EMAIL:theirishmenpub@yahoo.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: GregCO Excavating LLC CONTRACTOR ADDRESS: STREET9009 42nd St NE CITY Lake Stevens STATE WA zip 98258 CONTRACTOR PHONE:4253347307 CONTRACTOR EMAIL:anne@gregCOeXCavating.COn1 CONTRACTOR LICENSE#(REQUIRED):GREGCEL949CB EVERETT BUSINESS LICENSE#(REQUIRED): 53539 PRIMARY CONTACT: ❑OWNER /APPLICANT ❑CONTRACTOR 8 OTHER(Architect, Engineer, Etc.) General Contractor CONTACT NAME:Jon G e bow CONTACT PHONE:206-850-8542 CONTACT EMAIL:jon@westrockcon.com ACKNOWLEDGEMENT./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./am the owner,or l 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 ab'_'L -�W PERMIT vtflvr PW Owner/Authorized Agent Signature Date (Revised 4/21/2022)