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Imm <br /> PIILIC WORKS PERMIT 4PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P)425-257-8810 l FAX 425-257-8857 I (E)everetteps@everettwa.gov l https://everettwa.gov/permits <br /> PROJECT SITE,INFORMATION <br /> PROJECT ADDRESS:7500 Hardeson Road, Everett,WA <br /> SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX EADU ❑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 /> izz DESCRIPTION-OF SITE WORK 11101HT- <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 114 FT WIDE ❑ Combined Sewer <br /> ❑✓ ASPHALT/CONCRETE PAVING 25,800 SF ✓❑ Separated Storm Sewer <br /> ✓❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 6.3 LF ❑ Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ❑✓ CLEARING/GRADING/FILL/EXCAVATE 630 CY ❑ MR2 Only El MR1-5 ❑✓ MR1-9 <br /> ❑✓ CUT/BORE IN PAVEMENT(PARALLEL) 116 LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:3,000 SF <br /> ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:26,400 SF <br /> ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced:29,400 SF <br /> CONTACT INFORMATION _ <br /> OWNER/APPLICANT NAME:Sang Ji <br /> OWNER/APP. MAILING ADDRESS: STREET 11833 268th Drive NE <br /> CITY Duvall STATE WA ZIP 98019 <br /> OWNER/APP. PHONE: OWNER/APP. EMAIL:sangwji@live.com <br /> 'Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑CONTRACTOR ❑✓ OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: Bart Brynestad, PE CONTACT PHONE: 253-383-2422 <br /> AHBL CONTACT EMAIL: bbrynestad@ahbl.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 /> 2/25/2020 PW IDD Q-c 5 <br /> Owner/Authorized Agent Signature Date (Revised 1/72019) <br />