6601 BEVERLY BLVD 2022-01-24 - Laserfiche WebLink

• • PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASH INGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6601 Beverly Blvd Everett Wa 98203 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED EITOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL [INDUSTRIAL IF APPLICABLE: ❑LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) IF APPLICABLE: El 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: El DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 400 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/GRADING/FILL/EXCAVATE CY El 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 Providing two paved parking spaces on-site per Preliminary approval of BLA19-009 CONTACT INFORMATION OWNER/APPLICANT NAME: Maverick Consulting LIc/BILY4EVER OWNER/APP. MAILING ADDRESS: STREET P.O. Box 1154 cmr Everett STATE Wa z, 98206 OWNER/APP.PHONE: 425-275-7.56 OWNER/APP.EMAIL: info@ maverickhldgs.com .i *Required for Work in Public Right-of-Way CONTRACTOR NAME: Quilceda Paving &Const. Inc. CONTRACTOR ADDRESS: STREET 3403 16th Street ciT Everett STATE Wa ZIP 98201 CONTRACTOR PHONE: (2:{25) S of-9 r 11 CONTRACTOR EMAIL: r j c . to ae et pa V . 4 a rAn CONTRACTOR LICENSE#(REQUIRED): IQV V LPG oi"1 , e Z EVERETT BUSINESS LICENSE#(REQbARED): PRIMARY CONTACT: OWNER /APPLICANT El CONTRACTOR ❑OTHER(Architect,Engineer, Etc.) CONTACT NAME: CONTACT PHONE: '-+2,r5 - CONTACT EMAIL: \ ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant t his 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.lam the owner,or lam 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# /7-z 3 j � PW 'CC a :2. Owner Authorize Agent Signature / Date (Revised 1/72019)