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PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTBUBMRTALINSTRU"IMS <br />Emal arTllatlma w,miNl<rcurtan6b PeMISm.IxSrpyee.erelMe. gw some Oat i]WC.,u Sn"i RAW Imp Box <br />WASHINGTON <br />CONTACT INFORMAMON IN) 42s-257ABm1JE)PermRServlaes@overeNUB.gm' 1(W) evemnwa.9 lwmb <br />PROJECT SITE INFORMATION ME <br />PROJECT ADDRESS: 1928 Virginia Ave., Everett, WA 98201 <br />SITE WORK FOR PRO.IECT TYPE: W FISDETACHEU OTOWNHOUSE OWPLE%DADU OMULTI-FAMILY OCOMMERCML DINUUSTWAL <br />IF APPLICABLE: ❑ LAND USE PROJECT k (SEPA, PRE -PPP, SS, ETC.) <br />WAPPLICABLE: ElFRANCHISEIUTILITY COMPANY, ANNUAL BLANKET PERNITM <br />UTILITYCOMPANY'SNAMEBJOBY: JOKY: <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />❑FENCE IN ROW FT IN HEIGHT <br />❑ DRIVEWAY APRON I CURB CUT FTWIDE <br />M ASPHALT I CONCRETE PAVING 132 SF <br />❑RETAINING WALL ROCKERY IN RIGHT-OF-WAY LF <br />O RETAINING WALL ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />❑ CLEARING I GRADING I FILL I EXCAVATE CY <br />❑ CUTHORE IN PAVEMENT (PARALLEL) LF <br />❑ CUTEORE IN PAVEMENT(NON-PARALLEL) LF <br />❑ POLE WORN I AERIAL /OVERLASH LF <br />ADDInONAL DESCRIPTION AS NEEDED: <br />DRAINAGE MITIGATION QUESTIONS: <br />STORMWATER DISCHARGES TO: <br />■Comnlree Saar <br />C] Sepearerl SO= Serer <br />17 Mrae D'umarge m Snohomish River or Puget Sound <br />TRIGGERED REQUIREMENTS: <br />13MR20nly Doi Q11AR1-B <br />QUANTITYGFPROPOSEDHARDSURFACES: <br />Proposed Pmor Ana: BE <br />Proposed Hamsfam SF <br />Tolel 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 em98201 <br />OWNER I APP. PHONE: 201-705-3574n <br />OWNERIAPP.EMAIL:ryanp.mcgowan O@gmall.COm <br />•Regmree br W urk o PUNIc mgM1rbl-Way <br />CONTRACTOR NAME: None currently (currently fielding estimates for project) <br />CONTRACTOR ADDRESS:smani <br />CONTRACTOR PHONE: <br />CONTRACTOREMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />EVERETT BUSINESS LICENSE CREOUIRED): <br />PRIMARY CONTACT: N OWNER I APPLICANT ❑CONTRACTOR ❑ OTHER(Archited, Engineer, Etc.) <br />CONTACT NAME: <br />RYan McGowan <br />PHONE:201-7053574 <br />CONTACT EMNL:ryanpmail.com <br />CON <br />covi WI owned hNTIl Mae. arweded low TeaXendN CnAPom Ma lMy Suffances appo neM1tinb Me ochwarkan W Mditi pWNBMbIMa µr d mUal <br />au"»annmmng Seem tharderale <br />Mae. ara areerbe in verigm GkkGd uNs, aaam nm,Iae MA sneers wnmmaIlrerelrwn. re,ow eramaa met n. <br />anMorme ook nor lwhiABaeaMg�ae.A eeMgawmnme aneeranr�m+an Law 1,arrinaowaar,a-lam aalmn>eear elre orrnarorwa popenyro <br />peMnn Me wak la which Application is matla, antll m,ryNy WM Me SYaK CaMMgaalaw 18371tCW And 3M.3014 WAG <br />CilyW Everett OTielel Use OMy <br />x/A 7/26/22 PW <br />owi€ rnwnorl:ee Assn am (Rewmea2+l1U33) <br />