620 10TH ST 2023-06-22 - Laserfiche WebLink

PLOLIC WORKS PERMIT AWLICATION CITY OF EVERETT PERMIT SERVICES E V E R E T T 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 620 10th Street SITE WORK FOR PROJECT TYPE: I❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SMA20 007 IF APPLICABLE: I I FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME &JOB#: JOB# DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON /CURB CUT FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 4533 SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF El Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑✓ CLEARING/GRADING /FILL/EXCAVATE 11 CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 El CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: IA CUT/BORE IN PAVEMENT(NON-PARALLEL) 631 LF Proposed Roof Area: 1510 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:4533 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced:6043 SF eject includes. xistinq restwe -building: Adjacent landscaping, irrigation, and hardscapes removed and replaced. New precast and prefabricated restroom will be delivered to site for placement on new foundation. New restroomovide greater servic I . CONTACT INFORMATION OWNER/APPLICANT NAME: Port of Everett OWNER/APP. MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 CITY Everett STATE WA ZIP 98201 OWNER/APP. PHONE: 425-259-3164 OWNER/APP. EMAIL: `Required for Work in Public Right-of-Way CONTRACTOR NAME: TBD �I�.(/� ( /is V(,( .AA CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: i OWNER /APPLICANT ❑ CONTRACTOR POTHER (Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-508-56627 Brandon Whitaker CONTACT EMAIL: bwhitaker@portofeverett.com ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must 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 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 perform the work for which application is made.and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# � 811d(2/r-Q'fl_�,,G l AC,2OO(,z May 07, 2021 P W _Q 22 Owner/Authorized Agent Signature Date (Revised 1/72019)