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RKIM <br />MEN PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTaaB1AaTALINSTRUCTIONS: r&I. &WIwAMW>w111Ala>��rs® nW W adraPM1.13meCaesarea Had reopen, W. <br />WASHINGTON CONTACT MFWMATOM: (P) 424257A810I (E) .0w I (W) emreMapov/Pe�mile <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 2120 Pacific Avenue, Everett <br />SITE WORK FOR PROJECT TYPE t-JSFRDUACHEO OTONNNgI¢ 0WPLEK OROU OMULTFAWLY ®COMMERCIAL OINWSiRM1 <br />IFAPPUCABLE: KJLANDUSEPRWECTd(SEPA,PRE-APP,SS,EFC.) REV122-141 <br />WAPPLICABLE: El R CHISEN LIWCOMPANY,ANNUALBIANKETPERMITM <br />UTIMTY COMPANY'S NAME B JOB p: JOB e: <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />❑FENCE IN ROW FTIN HEIGHT <br />O DRIVEWAY APRON I CURB CUT FTWIDE <br />M ASPHALTI CONCRETE PAVING 375 SF <br />O RETAINING WALL I ROCKERY IN RIGHT-OF-WAY _LF <br />❑ RETAINING WALL I ROCKERY OVER OFT IN HEIGHT _FTTOTALHEIGI-T <br />❑ CLEARING I GRADING I FILL/EXCAVATE CY <br />O CUTiHORE IN PAVEMENT(PPRALLEL) LF <br />❑ CUTIBORE IN PAVEMENT (NON -PARALLEL) LF <br />❑POLE WORK/ AERIAL I OVERLASH LF <br />ADDITIONAL DLFCRIPDON AS NEEDED: <br />DRNNAGE MITIGATION QUESTIONS: <br />STORMWATER DISCHARGES W. <br />OCombied Scvnr <br />O SepamtrA AIomt Sever <br />O Oimd O®dwye to SMgndthat Or Mal SOW <br />TRIGGEREDREW/REMENTS: <br />13MR2anir OMR1d 0MRI9 <br />WANi1TYOF PRONSEOWWO SURFACES <br />PmpoeM RmlMs SF <br />Prt9neM Hveeape sF <br />Is ant SF <br />Asphalt paving and parking stall striping Per attached plan. <br />CONTACT INFORMATION <br />OWNERIAPPLICANTILME: Kimball Holdings LLC6ivat Kimball <br />OWNERIAPP. MauNGADDRESS: andecr 8431 Mal" Read <br />on,Snohomish STATE WA op 982H <br />OWNERIAPP.PHONE: 425-252-3114 <br />OWNERIAPP.EMAIL PUSS&Ssanna.COm <br />`Requl� MWOM1 F PWIk RbMd-Way <br />CONTILACTOIL NAME: JD Hunt Paving / Joah Lulz <br />CONTRACTOR AOeRESS: sir 117027th Ave SE <br />arry ve Erett Are WA ap98208 <br />CONTRACTOR PHONE: 425453J444CONTRACTOR EMAIL: loshQdhumpaving.com <br />CONTRACTORLICENSEB(REOWREDk JDHUNHP780K6 <br />IEVER BUSINMLICEKSERBEQUIWDk 65187 <br />PRIMARYCONTACT: ❑OWNERIAPPUCANT OCONTRACTOR I30T1ER(AvNtMd,En9lmeer,ElJ Agent <br />CONTACT NAME: Reid ockey <br />Shockey Planning Group <br />COMACTPHONE: 425-258-9308 <br />rs oc shocet lemon corn <br />CIXTTACT EMML: 9Y YP 9� <br />ACIWOWLEDGENEN( than; aMwndm IM Mfmmlbn xnMMtl M1celn6tLaW mnOt Wurktlurre WrsuaM b Wep�mRmuer <br />mnSMy aKAcu+nt/elerN. #Ne, antlbca'Nw. TM9matlrq NapmM myMM1m'neappwW xwl: W rro MviaLMu tlnie row, Daviarim¢mud flrtN <br />ammnmem wmmpeemeM1e Sweets or'ereenae bang evmwree.wew myeernma oaae., or)sm awleawe by Me aW"ref Mls PrsPaMlo <br />pn one vmn rm wixn apgrcarmn m mate, and l center Wye me Sheaf eemm lee 1a2r RCWana2Pe.2oaa WAC <br />I:W N Ewmi! oW.a vas Deer <br />PERMIT Sit <br />1-26-2023 PW <br />Inamarawl eased Signature Ice. (R«rAe4G?1rze22) <br />