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PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTwaMmM$NSTRU"IMS <br />EmalleLNlredma submmel<rcum.nNro Pe,rNBervKKs®everelMe gw some Oat 3200e.,v eW.,ZrA Flow Imp Box <br />WASHINGTON <br />CONTACT INFORMAMON IN) 425-2571I(E) Permllsewices@evemn .gm I IWI evemnwa.9Jvlwmb <br />ME <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 1928 Virginia Ave., Everett, WA 98201 <br />SITE MINK FOR PRO.IECT TYPE: W FISDETACHEU OTOWNHOUSE OWPLE%DAUU OMULTI-FAMILY OCOMMERCML DINDUSTWAL <br />IF APPLICABLE: ❑ LAND USE PROJECT k (SEPA, PRE -PPP, SS, ETC.) <br />WAPPLICABLE: [IFRANCHISEIUTILITY COMPANY, ANNUAL BLANKET PERNITk <br />UTILITYCOMPANY'SNAMEBJOBY: JOKY: <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />DRAINAGE MITIGATION QUESTIONS: <br />❑FENCE IN ROW FT IN HEIGHT <br />STORMWATER DISCHARGES TO: <br />❑ DRIVEWAY APRON I CURB CUT FTWIDE <br />■ComnlreS Samar <br />M ASPHALT I CONCRETE PAVING 132 SF <br />C] Sepearee$O= Serer <br />❑RETAINING WALL ROCKERY IN RIGHT-OF-WAY LF <br />17 Mree D'umarge m Snohomish River or Puget Sound <br />O RETAINING WALL ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />TRIGGERED REQUIREMENTS: <br />❑ CLEARING I GRADING I FILL I EXCAVATE CY <br />13MR20nly Doi Q11AR1-B <br />❑ CUTHORE IN PAVEMENT (PARALLEL) LF <br />QUANTITYGFPROPOSEDHARDSURFACES: <br />❑ CUTEORE IN PAVEMENT(NON-PARALLEL) LF <br />Proposed Proof Ana: BE <br />❑ POLE WORN I AERIAL /OVERLASH LF <br />Proposed Hamsfam SF <br />ADDInONAL DESCRIPTION AS NEEDED: <br />Tonl New •R%MWAl SF <br />Sidewalk in front of single-familiy home is cracked and uneven. It needs to be replaced. <br />CONTACT INFORMATION <br />OWNER I APPLICANT Ni Ryan McGowan <br />OWNERIAPP. MAILING ADDRESS eer1928 Virginia Ave. <br />m Everett ATEWA ZIP 98201 <br />OWNER I APP. PHONE: 201-705-3574n <br />OWNER I APP. EMAIL: ryanp. mcgowan O@gmai l.Com <br />•Regmretl for W urk o PUNIc Eghtbl-Wary <br />CONTRACTORNAME: <br />CONTRACTOR ADDRESS 5 v .SE <br />cm 0 <br />stiB <br />CONTRACTOR PHONE: 4 - - 9 1 <br />CONTRACTOREMNL aC55 fO 2 CO 840 <br />CONTRACTOR LICENSE tl UIREEk <br />Ti BUSINESS LICENSE pREOUIRES: <br />PRIMARY CONTACT: N OWNER I APPLICANT ❑CONTRACTOR ❑ OTHER(Archited, Engineer, Etc.) <br />CONTACT NAME: <br />RYan McGowan <br />PHONE:201-7053574 <br />CON <br />CONTACT EMNL:ryanpmail.com <br />covi WI owriENTIl Mae. arweded low TeaXendngcd a ft lMy Suffances appo neM1tinb Me ochwarkan W Mditi pWNBMbIMa µr d mUal <br />au"»annmmng Seem the <br />Sud arakamlaw. Anagamngmaparww yam appmvae MA sneers wnm au Ilrazedby o.v:nnne,aaa marl n. <br />anMon,ae in moving lwhiABatiaMg Career na� eaMgammr Mw aeeeraar�m+ansaw 1,arrrinaownar,a-lam aalmn>eear elre orvnarorwa popenyro <br />peMnn Me wak la which Application is matla, antll m,ryNy WM Me SYaK CaMMgaalaw 18371tCW And 3M.3MN WAG <br />Cilym Everett OTielel Use OMy <br />FtKMI <br />..-.L,a,, PW <br />owd€ IAUt ri As•a aY.o 23 DAN (Ravmae IM22) <br />