2700 34TH ST 2023-06-23 - Laserfiche WebLink

NNE PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 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:33rd St 34th St& Burlington Northern Railroad (BNRR)right of way, Everett, WA 98201 SITE WORK FOR PROJECT TYPE; ❑SFR-DETACHED ❑TOWNHOUSE ['DUPLEX EADU ❑MULTI-FAMILY ❑COMMERCIAL ✓❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) IF APPLICABLE: ❑ 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 SF ❑Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑✓ CLEARING/GRADING/FILL/EXCAVATE 5300 CY ❑.MR2 Only ❑MR1-5 ❑MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:_ SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 0 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced: SF Excavation to depths of 2-2.5 feet inside fenced property, with one area to 6 feet in depth for environmental cleanup, approved by WA Dept Ecology, clean backfill. CONTACT INFORMATION OWNER/APPLICANT NAME:Everett Steel OWNER!APP. MAILING ADDRESS: sTREET3126 Hill Ave crry Everett, STATE VV,/�' A ZIP 98201 OWNER/APP.PHONE:(206) 682-3166 OWNER I APP. EMAIL:LBerman@eVerettSteel.COm *Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER I APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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# 5/28/2019 PW . 90 5- O e9 Ov�n�1Authorized Agent Signature Date (Revised 1/72019)