3523 BROADWAY 2022-04-01 - Laserfiche WebLink

PIoLIC WORKS PERMIT AWLICATION CITY OF EVERETT PERMIT SERVII ES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASH INGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3523 Broadway, Everett,WA SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY CCOMMERCIAL FlINDUSTRIAL IF APPLICABLE: C LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: 17 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: n FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑I DRIVEWAY APRON/CURB CUT FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 1,900 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 400 CY ❑ 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:1,900 replaced SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: 1,900 replaced SF Demolition of Fuel Canopy and USTs to be replaced with asphalt paving. No new impervious areas to be created. CONTACT INFORMATION OWNER/APPLICANT NAME:Joe Giuseffi, Car Wash Enterprises, Inc. OWNER/APP. MAILING ADDRESS: STREET 3977 Leary Way NW CITY Seattle STATE WA ZIP 98107 OWNER/APP. PHONE:206-774-3765 OWNER/APP. EMAIL:Joe.Giuseffi@brownbear.com *Required for Work in Public Right-of-Way C."'k CONTRACTOR NAME: To be determined at issuance - request for plan review only at this time. VI ital.- Sept/ ceS CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: y� CONTRACTOR� EMAIL: ,i,(i!CONTRACTOR LICENSE#(REQUIRED): (:v L.; I.y t� 5 0(L'-L 15 EVERETT BUSINESS LICENSE#(REQUIRED): 3 14�t✓ PRIMARY CONTACT: ❑ OWNER /APPLICANT El CONTRACTOR (✓J OTHER(Architect, Engineer, Etc.) Engineer CONTACT NAME: CONTACT PHONE:(425)251-6222 Nick Wecker CONTACT EMAIL:nwecker@barghausen.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# ( ,cy'� Joe Giuseffi ..� -��-- 2-11-2021 PW03-lJ�� Owner/Authorized Agent Signature Date (Revised 1/72019)