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D( )C3A7B2-042C-43CE-B23F-E74AB8234E22 <br /> Li� wuIKS PERMIT 4PLICATION <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:220 Olympic Boulevard <br /> SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE EDUPLEX ❑ADU ❑MULTI-FAMILY ❑✓COMMERCIAL ['INDUSTRIAL <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)N/a <br /> IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT#N/a <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> DESCRIPTION OF SITE WORK / RIGHT-OF-WAY 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 78 FT WIDE ❑ Combined Sewer <br /> ❑✓ ASPHALT/CONCRETE PAVING 50,591 SF ❑✓ Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY 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 CY ❑ MR2 Only El MR1-5 ✓❑ MR1-9 <br /> ❑✓ CUT/BORE IN PAVEMENT(PARALLEL) 50 LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ACUT/BORE IN PAVEMENT(NON-PARALLEL) 31 LF Proposed Roof Area:23,007 SF <br /> ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:55,696 SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:78,703 SF <br /> Demolition of existing building and site. New, two-story +/- 29,217 SF outpatient medical clinic, <br /> associated landscaping, and utilities proposed. Proposed driveways on Elm St, Olympic Boulevard, and <br /> Mukilteo Boulevard. <br /> Catalyst Capital <br /> STREET1800 Avenue of the Stars, Suite 1475 <br /> CITY Los Angeles STATE California ZIP 90067 <br /> 84-547-5530 cocco@catalystcap.com <br /> *Required for Work in Public Right-of-Way <br /> Foushee <br /> STREET3260 118th Ave, S.E., Suite 1000 <br /> CITY Bellevue STATE WA ZIP 98005 <br /> iffarsionammi425-957-2136 I idolence@foushee.com <br /> CCFOUSHAC1580D IMMENNEMMENOMMINIMMM 024790 <br /> ❑OWNER /APPLICANT ✓Q CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) <br /> 25-957-2136 <br /> John Dolence ammomidolence@foushee.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 /> (—oocusigned by: PERMIT# <br /> 07/07/2020 PW 2 n O ] -- 0� "-- <br /> \--3F54FA434A1347fl347n <br /> 111111111111111111111111111111111111111111111111111111111 (Revised 1/72019) <br />