1210 W MARINE VIEW DR 2020-05-06

PUBLIC WORKS PERMIT A*LICATION I!r►'/3,r - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1210 W Marine View Drive IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.)Pre-App 17-027;SPU Permit 18-001 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX OMULTI-FAMILY ❑COMMERCIAL DINDUSTRIAL CHANGE OF USE? 0 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ®YES,TYPE 3/4" Meter for irrigation SIZE 3/4" SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Construct Electric Utility Substation ** For quantities, refer to "Cost Estimate for Permit Fee Calculation 2018" ❑FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING I GRADING/FILL/EXCAVATE CY 0 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: PUD No. 1 of Snohomish County c/o Jeff Colon, Substation Engineering OWNER MAILING ADDRESS: STREET PO Box 1107 cITY Everett STATE WA ZIP 98206-1107 OWNER PHONE: 425-783-4327 OWNER EMAIL: Jscolon@snopud.com APPLICANT NAME: (same) APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: ,p OWNER 0 APPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-783-4327 Jeff Colon CONTACT EMAIL: jscolon@snopud.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 firs-be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or 1 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#r1 p1 1 9/2/4/8 P W ISIO —66 1 Owner/Authorized e i ature Date (Revised 9/23/2016)