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PLOLIC WORKS PERMIT P&LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br />(PROJECT ADDRESS: /_% % / U -- Zf.% / A — 4/ //Sl <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br />JIF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />DRAINAGE MITIGATION QUESTIONS: <br />STORMWA TER DISCHARGES TO: <br />[� FENCE IN ROW FT IN HEIGHT <br />❑ DRIVEWAY APRON / CURB CUT <br />FT WIDE <br />❑ Combined Sewer <br />❑ ASPHALT / CONCRETE PAVING <br />SF <br />❑ Separated Storm Sewer <br />❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY <br />LF <br />❑ Direct Discharge to Snohomish River or Puget Sound <br />TRIGGERED REQUIREMENTS: <br />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />❑ CLEARING / GRADING / FILL / EXCAVATE <br />CY <br />❑ MR2 Only ❑ MR1-5 ❑ MR1-9 <br />QUANTITY OF PROPOSED HARD SURFACES: <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) LF <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) <br />LF <br />Proposed Roof Area: SF <br />❑ POLE WORK / AERIAL / OVERLASH <br />LF <br />Proposed edHardsca e: SF <br />ADDITIONAL DESCRIPTION (AS NEEDED): <br />Total NbJt~] GUVEID SF <br />PLANNING <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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />l- /2%Z%�. /T IPW li(�- v � <br />Odun r/Au orized Agent Signature f Dare (Revised 411512019) <br />