2312 W CASINO RD COMMUNITY TRANSIT 2022-05-11

E P1 LIC WORKS PERMIT AISLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2313 W CASINO ROAD, EVERETT, WA 98204 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE ['DUPLEX ❑ADU ❑MULTI-FAMILY ✓❑COMMERCIAL ['INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑ 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: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE LI Combined Sewer ❑ASPHALT/CONCRETE PAVING 34,200 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 2,613 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:921 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:2,260 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:48,340 SF CONTACT INFORMATION OWNER/APPLICANT NAME:COMMUNITY TRANSIT OWNER/APP. MAILING ADDRESS: STREET 7100 HARDESON ROAD CITY EVERETT STATE WA ZIP 98203 OWNER/APP. PHONE:425-348-2312 OWNER/APP. EMAIL:DAN.JEROME@COMMTRANS.ORG *Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: I]OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-348-2312 DAN J E ROM E CONTACT EMAIL:DAN.JEROME@COMMTRANS.ORG 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# q#1-tkgkil.--- .. 14� Pw 2003 --o� O 0 ' I u ed Aature D to (Revised 1/72019)