2821 HEWITT AVE NW PLUS CREDIT UNION 2021-11-12

® I • PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2821 Hewitt Ave SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ['TOWNHOUSE ❑DUPLEX EADU ❑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: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF Installation of new 120 Mallon propane tank for backup generator CONTACT INFORMATION OWNER/APPLICANT NAME: NW Plus Credit Union OWNER/APP. MAILING ADDRESS: STREET 2821 Hewitt Ave CITY Everett STATE WA ZIP 98201 OWNER/APP.PHONE:425-297-1000 OWNER/APP.EMAIL:dminton@nwpluscu.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: Newland Construction Co., Inc CONTRACTOR ADDRESS: STREET3300 Chestnut Street CITY Everett STATE wa ZIP 98201 CONTRACTOR PHONE:425-259-9191 CONTRACTOR EMAIL:matt@newlandcompany.com CONTRACTOR LICENSE#(REQUIRED):NEWLAC*343L0 EVERETT BUSINESS LICENSE#(REQUIRED): 18056 PRIMARY CONTACT: ❑OWNER /APPLICANT ✓❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-268-5552 Richard Smith CONTACT EMAIL:richard@newlandcompany.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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# I d.i dti ° i i/3 ' /L C Pw 2O \ 2.- b25 Owner/Authorized Agent Signature Date (Revised 1/72019)