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4677' PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:Port of Everett-Waterfront Place Central near 14th St.&W Marine View On and 15th St.and W Marine View Dr.(No Formal Address) <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:OSFR-DETACHED ❑SFR-ATTACHED °DUPLEX OMULTI-FAMILY ®COMMERCIAL CI INDUSTRIAL <br /> CHANGE OF USE? ®NO 0 YES, FROM TO <br /> NEW WATER I SEWER SERVICE NEEDED? 1M NO 0 YES,TYPE SIZE <br /> SITE WORK/RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Construction consists of the building of the Pacific Rim Plaza PIatform and the demolition and <br /> reconstruction of the existing segment D bulkhead and wharf.The primary purpose of this project is to replace the existing worn structures <br /> to improve safety and provide public pedestrian access to the Waterfront Place Central Project.See attached cost estimate for all values below. <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> D DRIVEWAY APRON/CURB CUT FT WIDE <br /> D ASPHALT/CONCRETE PAVING SF <br /> 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 0 RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING/GRADING/FILL/EXCAVATE CY <br /> D CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> D CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: Port of Everett <br /> OWNER MAILING ADDRESS: s1R5Er1205 Craftsman Way,Suite 200 <br /> circ Everett srnre WA ZIP 98201 <br /> OWNER PHONE: (425)259-2164 OWNER EMAIL: bwhitaker@portofeverett.com <br /> APPLICANT NAME: Brandon Whitaker <br /> APPLICANT MAILING ADDRESS: STREET 1205 Craftsman Way,Suite 200 <br /> CITY Everett STATE WA ZIP 98201 <br /> APPLICANT PHONE: 'APPLICANT EMAIL: <br /> PRIMARY CONTACT: tZi OWNER 13 APPLICANT 0 OTHER(Architect,Engineer,Etc.) <br /> CONTACT NAME: Brandon Whitaker CONTACT PHONE: (425)259-2164 <br /> OWNER EMAIL: bwhitaker@portofeverett.com <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein Is true and correct.Work done pursuant to this permit must <br /> 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 <br /> authorized in writing from the Building Official before being authorized under any circumstance.t am the owner,or I am authorized by the owner of this property to <br /> perform the work for which application is made,end I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> pw 16o7-oof <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />