3800 RIVERFRONT BLVD 2021-01-28 - Laserfiche WebLink

'111P0411VZ---APUBLIC WORKS PERMIT 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Everett Landfill/Tire Fire Site IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY TLICOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE SITE WORK 7 RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Relocation and stockpiling of soil. ❑FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CLEARING/GRADING/FILL/EXCAVATE 196,000 CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Shelter Holdings, LLC OWNER MAIUNG ADDRESS: STREET 11624 SE 5th St,Ste 210 cm. Bellevue STATE WA zip 98005 OWNER PHONE: 425.559.2300 OWNER EMAIL: APPUCANT NAME: Eric C. Evans APPLICANT MAILING ADDRESS: STREET 11624 SE 5th St,Ste 210 cm, Bellevue STATE WA ZIP 98005 APPLICANT PHONE:425.559.2340 (APPLICANT EMAIL: eric.evans@shelterholdings.com PRIMARY CONTACT: ❑OWNER 0 APPLICANT 0 OTHER(Architect,Engineer,Etc.) Engineer CONTACT NAME: CONTACT PHONE: 206-436-0522 Patty Buchanan, PE CONTACT EMAIL: patty.buchanan@perteet.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.lam 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# iJ *fle PW 950 -03Cp Pw Ow rlAuthorized Agent Signature (Revised 9/23/2016)