801 SIEVERS-DUECY BLVD 2022-03-11

EVERETT PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Sievers Duecy Blvd. Everett, WA 98203 (Tax # 28040100304200) SITE WORK FOR PROJECT TYPE: ❑SFR-DEIACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑COMMERCIAL l✓IINDUSIRIAI IF APPLICABLE: iJ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.)N/A IF APPLICABLE: C1 FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT #NIA UTILITY COMPANY'S NAME & JOB #: N/A JOB # N/A DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ( J FENCE IN ROW FT IN HEIGHT (✓I DRIVEWAY APRON / CURB CUT 35 FT WIDE [VI ASPHALT / CONCRETE PAVING 245 SF L I RETAINING WALL / ROCKERY IN RIGHT-OF-WAY IF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING / GRADING / FILL / EXCAVATE CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF I CUT/BORE IN PAVEMENT (NON -PARALLEL) LF (...1 POLE WORK / AERIAL. / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWATER DISCHARGES TO: U Combined Sewer ❑ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 I I MR1-9 QUANTITY OF PROPOSFD HARD SURFACES: Proposed Roof Area: SF Proposed Hardscape: total New + Replaced: SF Installation of a 35' wide cement concrete driveway ramp Type I on the north side of Sievers Duecy Blvd. to provide access to future city property. CONTACT INFORMATION OWNER/APPLICANT NAME:Cadman Inc, Tim Barton OWNER I APP. MAILING ADDRESS: IT11IT7554 1 85th Ave NE CITY Redmond STATE WA ,98073 OWNER I APP. PHONE:425.766.7237 OWNER I APP. EMAIL:TIm Barton@lehighhanson.com 'Required for Work in Public Right -of -Way CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: sniF T CITY STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): EVERETT BUSINESS LICENSE #(RF0t1IRLD): PRIMARY CONTACT: (VI OWNER / APPLICANT ❑ CONTRACTOR OTHER (Architect, Engineer, Etc.) CONTACT NAME: Tim Barton CONTACT PHONE:425.766.7237 CONTACT EMAIL:Tim.Barton@lehighhanson.com ACKNOWLEDGFMF_NT: 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 rrrust first be authorized in writing from the Building Official before being authorized under any circumstance. I am the owner, or / 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 Fvorott Official Use Only PERMIT # C PW Owner/Authorized Agent Signature Date (Revised 1172019)