6300 GLENWOOD AVE 2020-06-17 - Laserfiche WebLink

LBLIC WORKS PERMIT A APPLICATION 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 I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6300 Glenwood Ave.Everett,Washington SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE EDUPLEX ❑ADU ❑MULTI-FAMILY EICOMMERCIAL I2IINDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS,ETC.) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ©DRIVEWAY APRON/CURB CUT 46 FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 700 SF ❑Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑Direct Discharge to Snohomish River or Puget Sound 0 RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑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) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL I OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF Commercial driveway entrance at southeast edge of site along Seivers Duecy Blvd. CONTACT INFORMATION OWNER/APPLICANT NAME:Cadman,Inc. OWNER 1 APP. MAILING ADDRESS: STREET 7554 185th Ave NE CITY Redmond `.§TME,WA ZIP 98073 Y OWNER I APP.PHONE:425'961-7355 OWNER I APP. EMAIL:Bill.Zayer@Lehi t --I irOticarn *Required for Work in Public Right-of-Way 111 I j CONTRACTOR NAME: MAy 22 CONTRACTOR ADDRESS: STREET C i 1g ,y,, CI rY 'r I i4 �� •d.'-7-1.ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: en/ `, , , CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 11 OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect,Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-961-7355 Bill Sayer CONTACT EMAIL:CJEBERT@HARBORMOUNTAINDEV.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 am authorized by the owner of this property to perform the work for which applicati made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# (W: ZZ PW 005- © - OwnertAtrrhOn ed Agent gnature Date (Revised 1/72019)