6300 GLENWOOD AVE 2021-12-10 - Laserfiche WebLink

P1LIC WORKS PERMIT AI LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everettepseeverettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8300 Glenwood Ave.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: DRAINAGE MITIGATION QUESTIONS: ['FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: Z DRIVEWAY APRON/CURB CUT 48 FT WIDE ❑Combined Sewer m ASPHALT/CONCRETE PAVING 700 SF ❑Separated Storm Sewer ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑Direct Discharge to Snohomish River or Puget Sound ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING I GRADING/FILL/EXCAVATE CY ❑MR2 Only Q MR1-5 ❑MR1-9 0 CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Root Area: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscepe: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced; SF Commercial driveway entrance at southwest edge of site along Salvers Duecy Blvd. CONTACT INFORMATION OWNER I APPLICANT NAME:Cadman,Inc. OWNER/APP. MAILING ADDRESS: siAEEr 7554 185th Ave NE cur r Redmond STATE WA zip 98073 OWNER I APP. PHONE:425-961-7355 OWNER!APP.EMAIL:BIII.Sayer@Iehighhanaon.com 'Required for Work In Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CRY STATE ZIP CONTRACTOR PHONE: ;CONTRACTOR EMAIL: CONTRACTOR LICENSE*REQUIRED): EVERETT BUSINESS LICENSE*(REQUIRED): PRIMARY CONTACT: m OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect,Engineer, Etc.) _ CONTACT NAME: CONTACT PHONE:425-428-4282 Justin Johnsen CONTACT EMAIL:Justin.Johneen©lehighhaneon.com ACKNOWLEDGEMENT.I have reviewed this application and confirm the Information contained herein is true and correct. Worts done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work end no deviations therefrom.Deviations must float 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 f S 27 RCW and 298.200A WAC. City of Everett Official Use Om, PERMIT# t ,.,,er/AuthorizErd aunt Signature Date (Revised 1//720f9)