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NNE <br /> PIILIC WORKS PERMIT A'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> SITE WORK <br /> EVERETT <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:6617 Associated Boulevard, Building B Suite 100, Everett,WA 98203 <br /> SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ['DUPLEX EADU ❑MULTI-FAMILY ❑✓COMMERCIAL ❑INDUSTRIAL <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)N/A <br /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT#N/A <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> ❑FENCE IN ROW NA FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑✓ DRIVEWAY APRON/CURB CUT 80 FT WIDE ✓❑ Combined Sewer <br /> ❑✓ ASPHALT/CONCRETE PAVING 39,000 SF ❑ Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY NA LF El Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT NA FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ❑✓ CLEARING/GRADING/FILL/EXCAVATE 2600 CY ❑ MR2 Only El MR1-5 O MR1-9 <br /> ❑✓ CUT/BORE IN PAVEMENT(PARALLEL) 15 LF QUANTITY OF PROPOSED HARD SURFACES: <br /> WI CUT/BORE IN PAVEMENT(NON-PARALLEL) 25 LF Proposed Roof Area:NA SF <br /> ❑ POLE WORK/AERIAL/OVERLASH NA LF Proposed Hardscape:NA SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:39,000 SF <br /> The site will have modified landscaping, a new curb cut, replace portion of paving with concrete, and <br /> new striping. <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME: LBA/PPF Industrial - Associated / West Valley, LLC (Ross Beckley) <br /> OWNER/APP. MAILING ADDRESS: STREET 1106 Shuksan Way <br /> CITY Everett STATE WA zip 98203 <br /> OWNER/APP. PHONE:206-812-6242 OWNER/APP. EMAIL:RBeckley@Ibarealty.com <br /> *Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: Sierra Construction Company - Andy Bley <br /> CONTRACTOR ADDRESS: STREET 14800 NE North Woodinville Way <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE:425-487-5200 CONTRACTOR EMAIL:AndyB@sierraind.COm <br /> CONTRACTOR LICENSE#(REQUIRED):CC SIERRCC145N8 EVERETT BUSINESS LICENSE#(REQUIRED): 23366 <br /> PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑CONTRACTOR []OTHER(Architect, Engineer, Etc.) MG2 Corporation(architects) <br /> CONTACT NAME: Ra p CONTACT PHONE:206-499-95j37 <br /> Angela Ba I m r CONTACT EMAIL:angela.balmer©mg2.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, :c Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to <br /> perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT� # ��,, <br /> Kelli Bays o ecpozoosi9Y13:44B44-07'00' 5/29/20 P V V L /`L/ r0 2 <br /> Owner/Authorized Agent Signature Date (Revised 1/72019) <br />