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PROJECT ADDRESS: 00d OWE29 LV,?—rfAA-4 <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX❑ADU []MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br />IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />DRAINAGE MITIGATION QUESTIONS: <br />❑ FENCE IN ROW <br />FT IN HEIGHT <br />STORMWATER DISCHARGES TO: <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 />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT <br />FT TOTAL HEIGHT <br />TRIGGERED REQUIREMENTS: <br />❑ CLEARING / GRADING / FILL / EXCAVATE <br />CY <br />❑ MR2 Only ❑ MR1-5 ❑ MR1-9 <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) <br />LF <br />QUANTITY OF PROPOSED HARD SURFACES: <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) <br />LF <br />Proposed Roof Area: SF <br />❑ POLE WORK / AERIAL / OVERLASH <br />LF <br />Proposed Hardscape: SF <br />ADDITIONAL DESCRIPTION (AS NEEDED): <br />Total New+ Replaced: SF <br />FIZp L Az_Z AN kn V t- See ' of 0�Ls-t' Li,-- ikT60- Ll'Iv <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 />" r <br />RMIT # <br />Pzco' COL <br />Owne Authori Agent Signature Date (Revised 411512019) <br />L <br />