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P!BLIC 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 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3715 Oakes Ave, Everett, WA 98201 <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 /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRIPTION-OF.:SITE WORK LRIONT.OPNAY WORK;; <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer <br /> ASPHALT/CONCRETE PAVING 700 SF ❑Separated Storm Sewer <br /> El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF El Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> CO CLEARING/GRADING/FILL/EXCAVATE 80 CY ❑ MR2 Only ❑MR1-5 ❑ MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF <br /> ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:No new hardscape SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:700 (Replaced)SF <br /> Remove one 8,000-gallon underground heating oil storage tank - see attached site plan and scope of <br /> work. <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME: Everett School District No. 2, Darcy Walker, Director of Facilities & Planning <br /> OWNER/APP. MAILING ADDRESS: STREET 3900 Broadway <br /> CITY Everett STATE WA zip 98201 <br /> OWNER/APP. PHONE:(425)385-4197 OWNER/APP. EMAIL:dwalker@everettsd.org <br /> `Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: Saybr Contractors, Inc. <br /> CONTRACTOR ADDRESS: STREET38525 S 66th Street CITY Tacoma STATE �•�/��A ZIP 98409 <br /> CONTRACTOR PHONE:(253)533-2382 CONTRACTOR EMAIL:agrindle@saybr.com <br /> CONTRACTOR LICENSE#(REQUIRED):SAYBRCI033L7 EVERETT BUSINESS LICENSE#(REQUIRED): 33082 <br /> PRIMARY CONTACT: El OWNER /APPLICANT ©CONTRACTOR El OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE:(253) 533-2382 <br /> Amanda Grindle, Permit Coordinator <br /> CONTACT EMAIL:agrindle@saybr.com <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <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 /> PERMIT# <br /> 03/18/2021 P W <br /> Owner/ uthorized Agent Signature Date (Revised 1/72019) <br />