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PPBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:5001 Sound Ave, Everett, WA 98203 <br /> SITE WORK FOR PROJECT TYPE: ©SFR-DETACHED ❑TOWNHOUSE EDUPLEX EADU ❑MULTI-FAMILY ECOMMERCIAL ['INDUSTRIAL <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)SS 14-005 <br /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE '❑ Combined Sewer <br /> ❑ASPHALT/CONCRETE PAVING SF © Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> Z CLEARING/GRADING/FILL/EXCAVATE 150 CY El MR2 Only Q MR1-5 ❑ MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:2,500 SF <br /> ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:3,828 SF <br /> The proposal is to subdivide the existing lot into two lots and demolish the existing garage and <br /> replace it with a new single-family residence on Lot 1 with associated utilities. The existing home <br /> will remain on Lot 2 and a new garage will be constructed. <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME:Ambrose Ying Kuen Chan &Wan Mei Cheung <br /> OWNER/APP. MAILING ADDRESS: STREET 5001 Sound Ave <br /> CITY Everett STATE WA zip 98203 <br /> OWNER/APP. PHONE:(425) 319-6267 OWNER/APP.EMAIL:amchan007@hotmail.com <br /> *Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER /APPLICANT ❑CONTRACTOR ✓❑OTHER(Architect, Engineer, Etc.) Engineer <br /> CONTACT NAME: CONTACT PHONE:(425) 303-9363 <br /> Brian Kalab/Insight Engineering Co. CONTACT EMAIL:brian@insightengineering.net <br /> ACKNOWLEDGEMENT:I 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.I 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#/1G TT ,� <br /> 6 02/23/2021 PW .V3 `��+�-0c <br /> Owner/Authorized Agent Signature Date (Revised 1/72019) <br />