815 SIEVERS-DUECY BLVD 2022-03-11

C3 4§UBLIC WORKS PERMISiAPPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.gov i https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 815 Sievers Duecy Blvd. Everett, Washington SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY []COMMERCIAL ✓❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # UTILITY COMPANY'S NAME & JOB #: JOB # DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ❑ FENCE IN ROW FT IN HEIGHT DRIVEWAY APRON / CURB CUT 25 FT WIDE ❑✓ ASPHALT / CONCRETE PAVING 320 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING / GRADING / FILL / EXCAVATE CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWA TER DISCHARGES TO: ❑ Combined Sewer ❑ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: SF Proposed Hardscape: SF Total New+ Replaced: SF Commercial driveway entrance at Southwest edge of site along Seivers Duecy Blvd. Put down 6" crushed rock with non -woven fabric to stablize site. CONTACT INFORMATION OWNER / APPLICANT NAME: Underwood Gartland 64, LLC OWNER / APP. MAILING ADDRESS: STREET P.O. Box 3513 cr, Bellevue STATE WA Z,P 98009 OWNER / APP. PHONE: 425-881-2113 OWNER / APP. EMAIL: david@ug-dev.com 'Required for Work in Public Right -of -Way CONTRACTOR NAME: Foushee & Associates CONTRACTOR ADDRESS: STREET PO Box 3767 city Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 425.746.1000 CONTRACTOR EMAIL: dgroth@foushee.com CONTRACTOR LICENSE #(REQUIRED): CCFOUSHA15800 EVERETT BUSINESS LICENSE #(REQUIRED): 024790 PRIMARY CONTACT: ❑✓ OWNER / APPLICANT ❑ CONTRACTOR ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: David Gartland CONTACT PHONE: 425-881-2113 CONTACT EMAIL: david@ug-dev.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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. \ City of Everett Official Use Only //jPERMIT# Sean Underwood Digitally signed by Sean Underwood LIJ' 1iDate: 2020.06.05 10:25:08-07'00' 6/5/2020 P V V � Ll G Owner/Authorized Agent Signature Date (Revised 1172019)