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• • <br /> mum <br /> PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET. EVERETT, WA 98201 <br /> WASHINGTON (P) 425-257-8810 I FAX 4257257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3407 Wave Dr. Everett WA 9f.I203 <br /> SITE WORK FOR PROJECT TYPE: SFR-DETACHED ..JTGVVNBOUSE @DUPLEX EAUU ` MULTI-FAMILY ❑COMMERCIAL EIINDUSTRIAL <br /> IF APPLICABLE: L LAND USE PROJECT#(SEPA, PRE-APP,SS,ETC.) nla <br /> IF APPLICABLE: L. FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT.'4 nla <br /> UTILITY COMPANY'S NAME&'JOB#: n,ra JOB# ilia' <br /> , <br /> DESCRIPTION OF SITE WORK,/ RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> 7 FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> DRIVEWAY APRON/CURB CUT FT WIDE I I Combined Sewer <br /> ASPHALT/CONCRETE PAVING 945 soft Sr" El Separated Storm Sewer <br /> Lii RETAINING WALL!`ROOKERY IN RIGHT-OF-WAY LE n Direct Discharge to Snohomish River cr Puget Sound <br /> IT]RETAINING WALL!ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> El CLEARING/GRADING!FILL I EXCAVATE _ CY ©MR2 Only 11 MR1-5 ❑MR1-9 <br /> Li CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> I.I CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Ares: __SF <br /> E-i POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape _ SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced- ,,, _SF <br /> Replace the exsistinq cracked concrete with new 4' concrete driveway in the same location. <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME:Steve Hammond <br /> OWNER I APP. MAILING ADDRESS: siREE-3407 Wave Dr, <br /> cu Everett 3r�rF WA z,98203 <br /> OWNER I APP. PHONE:425,347,6842 }OWNER/APP.EMAIL:SteVejUdyhammOnd C@T�gmail.Com <br /> •RE used for Wink n,, <br /> �� Public Righl=ot.Way <br /> CONTRACTOR NAME: Robin Kearsley <br /> CONTRACTOR ADDRESS: -3TREE16631 Norma Beach Rd. <br /> ,,;Ty Edmonds >rr:tr WA zip 98026 <br /> CONTRACTOR PHONE:4254786380 CONTRACTOR EMAIL:r@kearsleyhomes.com <br /> CONTRACTOR LICENSE#(REDUIREDI:KEARSH1005NH EVERETT BUSINESS LICENSE Sr/REQUIRED): 56260 <br /> PRIMARY CONTACT: Ti)r OWNER /APPLICANT 17,1 CONTRACTOR 1:I OTHER(Architect, Engineer. <br /> CONTACT NAME: CONTACT PHONE:4254786380 <br /> Robin Kearsley CONTACT EMAIL:r@kearsleyhornes,com <br /> ACICNOWLEDOF(CENT t have reviewed this application and confirm tha tr f oftnation corrta;Fe0'herein is true and correct Work done pursuant to this permit must <br /> oompiy with cerrrerrf federal,safe,and local Iarv. The granting of a per r>r authorizes es approved work and I deviations therefrom Deviations must foot be <br /> authorized rn wntrn J from roe Bar;ding Official before being,aathorrzed wider anycircumstance,1 am the owner,or m am authenzed by the owner tit is property to <br /> perform the work tor which application's made, and!comply rich the Cons c C .nectars Law 16 27 ROW uric 296.200A WhC. <br /> City <br /> of Everett Otfictai,Use On/y <br /> PERMIT# <br /> L jellikL )- <br /> Owner/Authorized agent Signature Date (Revised l/7201/) <br />