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

P LIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I 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: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY OCOMMERCIAL ZINDUSTRIAL CHANGE OF USE? 121 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ❑YES,TYPE SIZE SITE WORK I 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 El 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 CIT. Everett STATE WA zip 98201 OWNER PHONE: (206) 972-7207 OWNER EMAIL: WolkenM@msn.com APPLICANT NAME: Owner APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: pi OWNER ❑APPLICANT ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: (206)972-7207 Mark Wolken CONTACT EMAIL: WolkenM@a msn.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 t\ PERMIT# l#A Owner/Authorized Agent Signa re Date (Revised 9/23/2016)