2201 100TH ST SW AD SYSTEMS 2022-03-07

OLT PUtLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2201 100th St SW IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)Pre-App on 5/23/17 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL JE INDUSTRIAL CHANGE OF USE? r0 NO ❑YES, FROM TO NEW WATER I SEWER SERVICE NEEDED? 0 NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Approximately 21,000 SF expansion to the existing building. Improvements include minor re-grading, drainage to accomodate re-grade, waterline relocation and other associated site improvements. ❑ FENCE IN ROW FT IN HEIGHT O DRIVEWAY APRON/CURB CUT FT WIDE ASPHALT/CONCRETE PAVING 20,700 SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT p CLEARING/GRADING/FILL/EXCAVATE 600 CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Aureus LLC OWNER MAILING ADDRESS: STREET 5014 Ruckler Ave cln Everett STATE\/�/"°A zia98203 OWNER PHONE: OWNER EMAIL: APPLICANT NAME: Fisher Construction Group, LLC APPLICANT MAILING ADDRESS: STREET 625 Fisher Lane cm, Burlington sTATEWA z08233 APPLICANT PHONE: (360)757-4094 APPLICANT EMAIL: sjb@fishercgi.com PRIMARY CONTACT: 0 OWNER ❑APPLICANT IP OTHER(Architect, Engineer, Etc.) Civil Engineer CONTACT NAME: CONTACT PHONE: (360)790-2312 Jared VerHey CONTACT EMAIL: jverhey@navixeng.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# Seth Burwash "� m " PW Owner/Authorized Agent Signature Date (Revised 9/23/2016)