1724 W MARINE VIEW DR BASE FILE 2023-06-16

477- PLIC WORKS PERMIT A'LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Port of Everett-South Marina Parking Lot SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY OCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) IF APPLICABLE: 0 FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# DESCRIPTION OF SITE VORIK C RIGHT OIC AY RK -,. FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: ❑FENCE IN ROW 0 FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT 0 FT WIDE ❑ASPHALT/CONCRETE PAVING 3,335 SF ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 0 LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT 0 FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE 545 CY ❑CUT/BORE IN PAVEMENT(PARALLEL) 30 LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) 90 LF ❑POLE WORK/AERIAL/OVERLASH 0 LF ADDITIONAL DESCRIPTION(AS NEEDED): Proposed work to occur on Port of Everett property within South Marina. Excavation is for construction of new grease interceptors, new sanitary . sewer lift station, storm pipe, and sanitary sewer pipe. Cut in pavement is for pipe trenches, grease Interceptors, and lift station. z z , CONTACT INFORMATION -, ' ;, n.,, r� OWNER/APPLICANT NAME: Port of Everett OWNER I APP. MAILING ADDRESS: STREET P.O.Box 538 CITY Everett STATE WA ZIP 98206 OWNER/APP.PHONE: 425-259-3164 OWNER I APP. EMAIL: CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: e'OWNER /APPLICANT 0 CONTRACTOR 0 OTHER(Architect,Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-388-0613 Brandon Whitaker CONTACT EMAIL: bwhitaker@portofeverett.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 I 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# -Z 8-30-( PW L oq-not+ Owner/Authorized Agent Signature Date (Revised 1/52017) A