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PUBIC WORKS PERMIT ALICATION <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 /> ::.E11•3101111111111111,1111sosotstortotooktiosproanconsafinemin <br /> PROJECT ADDRESS: Lot 5 of Riverside Business Park &St Riverside Road <br /> iF APPLICABLE: Ca LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.)See attach SEPA MDNS <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ODUPLEX ❑MULTI-FAMILY OCOMMERCIAL INDUSTRIAL <br /> CHANGE OF USE? ❑NO (a YES, FROM vacant land TO industrial building <br /> NEW WATER/SEWER SERVICE NEEDED? ❑NO ®YES,TYPE SIZE <br /> €..- .._......`1SIt' ' 11 RK � r ` I » 1, hk00 00 0 I I !;Rl a '" "1 't0 . ::.:: • <br /> DESCRIPTION OF WORK: Site development work associated with PW1606-017 (grading permit) <br /> ❑ FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE <br /> j,1 ASPHALT/CONCRETE PAVING 180,000 SF <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 133 CLEARING/GRADING/FILL/EXCAVATE.., - 5,350 CY Fill CY <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> y I >1NTT IfF�iitiATN <br /> OWNER NAME: Panattoni Development <br /> OWNER MAILING ADDRESS: STREET 900 SW 16th Street Suite 300 <br /> cn-Y Renton STATE WA ZIP <br /> OWNER PHONE: Donnie Belk OWNER EMAIL: <br /> APPLICANT NAME: AHBL Attention: Bart Brynestad <br /> APPLICANT MAILING ADDRESS: STREET 2215 N 30th St#300 <br /> CITY Tacoma STATE WA zip 98403 <br /> APPLICANT PHONE: 253-383-2422 (APPLICANT EMAIL: bbrynstead@ahbl.com <br /> PRIMARY CONTACT: 0 OWNER 421 APPLICANT 0 OTHER(Architect,Engineer,Etc.) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <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.tam the owner,or lam 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 /> tit(' l? PW 1201 - ®37 <br /> Owner/Authorized Agent Signature D (Revised 9/23/2016) <br />