1616 E MARINE VIEW DR 2020-05-08

477. W1R / SEWER UTILITY iffpLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1616 E Marine View Drive IF APPLICABLE: ❑OUTSIDE CITY LIMITS ❑ BUILDING AREA SF ❑LOT#00556332402400 BUILDING TYPE: ESFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL EACCESSORY CHANGE OF USE? ❑NO ❑YES, FROM TO UTILITY APPLICATION INFORMATION SEWER(check all that apply) WATER(check all that apply) ❑SIDE SEWER REPAIR ❑NEW WATER SERVICE INSTALLATION ❑SIDE SEWER ALTERATION ❑COMPLETE SERVICE 0 METER ONLY ❑NEW SIDE SEWER INSTALLATION SERVICE/METER USE: ❑INSTALL BACKWATER VALVE(outside the building) ❑SFR 0 SIDE SEWER CAP-OFF ❑MULTI-FAMILY-#OF UNITS: ❑SIDE SEWER RECONNECTION ❑COMMERCIAL MULTIPLE DOMESTIC WATER SERVICES REQUEST WATER SERVICE TYPE/SIZE:(provide calcs to support size choice) ❑ I AM DECLINING MULTIPLE DOMESTIC WATER SERVICES FOR ❑DOMESTIC: 03/4" ❑1" 02" ❑Other: MY MULTI-FAMILY DEVELOPMENT UNDER SINGLE OWNERSHIP. ❑ IRRIGATION: 03/4" 01" 02" ❑Other: ❑I AM OPTING TO INSTALL MULTIPLE DOMESTIC WATER ❑FIRE: 01" 02" 04" 06" 08" ❑Other: SERVICES FOR MY MULTI-FAMILY DEVELOPMENT UNDER ❑DOMESTIC/FIRE COMBO: ❑1" 02" ❑Other: SINGLE OWNERSHIP.FILL OUT REVERSE SIDE OF THIS FORM. ❑BACKFLOW PREVENTION(Outside): ❑RPBA EDCDA ❑DCVA CONTACT INFORMATION OWNER NAME: Riverview Manager LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10900 NE 8th Street,Suite 1200 CITY Bellevue STATE WA ZIP 98004 OWNER PHONE:(425)467-1871 'OWNER EMAIL:Dalton.Arndt@heartlandwa.com CONTRACTOR NAME:Ascendent LLC CONTRACTOR ADDRESS: STREET 106 Frontage Road North CITY PacificSTATE WA ZIP 98047 CONTRACTOR PHONE:(253)737-6355 'CONTRACTOR EMAIL:Mestes@ascdemo.com CONTRACTOR LIC.#(REQUIRED):ASCENL*996N9 'CITY OF EVERETT BUSINESS LIC.#(REQ ED): 46814 PRIMARY CONTACT: ❑OWNER E CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(253)737-6355 Mike Estes CONTACT EMAIL:Mestes@ascdemo.com AGREEMENT.The undersigned applicant agrees to comply with all provisions of the Everett Municipal Code Title 14 Water and Sewer or such other rules and regulations now existing or which may be established from time to time. The applicant further agrees,as a condition precedent to receiving service that the utilities division shall have the right at any time,without notice,to shut off or turn on the water supply for repairs,construction,and nonpayment of charges or for any other reasonable cause.I am the owner,or I am authorized by the.wner 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# 1Z -)1 U .c103 —a5 Own= `Authorized Agent Signature Date (Revised 10/12/2018)