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0 <br />9 <br />PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.gov i www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 1 122 75th Street SW, Everett, WA 98203 <br />IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI -FAMILY OCOMMERCIAL ❑INDUSTRIAL <br />CHANGE OF USE? ❑ NO ICJ YES, FROM A-3 Church TO B Office <br />NEW WATER / SEWER SERVICE NEEDED? ONO ❑ YES, TYPE SIZE <br />SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br />DESCRIPTION OF WORK: Renovation and tenant improvements of PUD's commercial office building and annex building in Everett. <br />Miscellaneous site improvements include pavement repair, restriping, drainage improvements, and new concrete slabs. <br />❑ FENCE IN ROW FT IN HEIGHT ,2 <br />❑ DRIVEWAY APRON / CURB CUT FT WIDE p <br />ASPHALT / CONCRETE PAVING 1,892 (non-exempt area, see C3.1 notes) SF ok, <br />❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF� <br />V] RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT 5 FT TOTAL HEIGHT <br />CLEARING / GRADING / FILL / EXCAVATE 50 CY <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) LF <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF <br />CONTACT INFORMATION <br />OWNER NAME: Snohomish Public Utility District <br />OWNER MAILING ADDRESS: STREET 2320 California Street <br />c,Tv Everett STATE WA z,p 98201 <br />OWNER PHONE. 425-783-8545 <br />OWNER EMAIL: rbreed@snopud.com <br />APPLICANT NAME: CG Engineering <br />APPLICANT MAILING ADDRESS: STREET 250 4th Avenue S, Suite 200 <br />c,Tv Edmonds STATE WA zip 98020 <br />APPLICANT PHONE: 425-788-8500 <br />APPLICANT EMAIL: jaredu@cgengeinnering.com <br />PRIMARY CONTACT: ❑ OWNER ❑ APPLICANT 0 OTHER (Architect, Engineer, Etc.) Architect <br />CONTACT NAME: <br />Sharon Robinson, Zervas Group <br />CONTACT PHONE: 360-734-4744 <br />CONTACT EMAIL: Sharon@zervasgroup.com <br />ACKNOWLEDGEMENT. / 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. / 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 />03/05/2018 P W UV <br />Agent Signature Date (Revised 912312016) <br />