3620 36TH PL NE 2023-06-22 - Laserfiche WebLink

PLIC WORKS PERMIT, �PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET EVERETT, WA 98201 (P) 425-257-8810 ( FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3620 36th PI NE, Everett WA 98201 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ZINDUSTRIAL CHANGE OF USE? V7 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? El NO 0 YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Grading and fill activity in preparation for future development of the Smith Island Terminal. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CLEARING/GRADING/FILL/EXCAVATE 800,000 CY ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Smith Island Terminal. LLC Attn: Mark Wolken OWNER MAILING ADDRESS: STREET 2903B Hewitt Avenue ciTv Everett STATE WA ZIP 982014 OWNER PHONE: (206) 972-7207 OWNER EMAIL: WolkenM@msn.com APPLICANT NAME: David Evans & Associates. Inc. Attn: Jack Molver, P.E. APPLICANT MAILING ADDRESS: STREET 1620 W Marine View Drive, Suite 200 CITY Everett STATE WA ZIP 98201 APPLICANT PHONE: (425)405-1504 APPLICANT EMAIL: lnm@deainc.com PRIMARY CONTACT: ❑ OWNER 0 APPLICANT ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: (425)405-1504 Jack Molver, P.E. CONTACT EMAIL: jnm@deain.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# --7/eZ . C. PW () I Own?/Authorized Agent Signature Date (Revised 9/23/2016)