1818 CHESTNUT ST 2023-07-31 - Laserfiche WebLink

MISS PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMRT INSTRUCTIONSnro :Emeappl.,.umneenaow NN nM1a.l�,®e.arerma . mpoaM32000outilmad.r Shoronpen, WASHINGTON CONTACT INFORMATION. Ni425-26/A01011E) Po"ftSewices@evetMa.gov l IW) wmeMn.povlpennNs PROJECT SITE INFORMATION PROJECT ADDRESS: 1818 Ch¢Stnut St SITE WORK FOR PROJECT TYPE: BSFR-DETACHED OTOWNHOUSE 0DUPLEX OADU 0MULTI -FAMILY OCOMMERCIAL OINDUSTRIAL IF APPLICABLE: O LAND USE PROJECT # (SERA, PRE APP, BE, ETC.) IFAPPLIOABLE: QFRANCHISEJUTILITY COMPANY, ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME It JOB It: JOB#: EL DESCRIPTION OF SITE WORK I RIONT-OF-WAY FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ■FENCE IN ROW 3.5 FT IN HEIGHT ❑ DRIVEWAY APRON) CURB CUT FTWIDE O ASPHALT I CONCRETE PAVING SF ❑ RETAINING WALL I ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL I ROCKERY OVER 41FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING I GRADING I FILL I EKGAVATE OY ❑ CUTTADRE IN PAVEMENT (PARALLEL) LF O CUTIBORE IN PAVEMENT(NON-PARPILEL) LF ❑ POLE WORK I AERIAL I OVERLASH LF ATNEEDD WORK DRAINAGE MITIGATION QUESTIONS: STORMWATER DISCHARGES TO - 13CombHed Sear O Hiparated Storm Swear G Direct Dstlmga m Snoumish River or Wgel Sound TRIGGERED REQUIREMENTS: OMR20nly OMR15 t3MR1A QUANTITY OF PROPOSED HARD SURFACES: Propoeed Fool Area: SF Propmed Herdscepe: SF Total New • RopMnd : SF ceAS 60 QNfAenaWith 4 ft gate CONTACT INFORMATION OWNER I APPLICANT NAME: Shane Stine OWNER I APP. MAILINGADDRESS: nuarml818 Chestnut St c TY Everett A,L WA zip98201 W ONER I APP. PHONE-2062014728 OWNER I MR. EMAIL: CarOltu ng 1@gmell.COrn 'Required tar WaM In Public Rlphtul-Way CONTRACTOR NAME: A Living Art Landscape CONTRACTORADDRESS: Everett STAM ZIP CONTRACTOR PHONE: CONTRACTOREMAIL: CONTRACTOR LICENSE#(REQUIRED). ALIVIAe824K2 EVERETT BUSINESS LICENSE#(REQUIRED): 601-449-810 PRIMARY CONTACT: III OWpNER I♦APPPPLLIICANT ❑ CONTRACTOR ❑ OTHER (Aroh#ed, Engineer, Etc.) L, CONTACT NAME:S1-�„Q SIILLG Shane CONTACT PHONE:2062014728 CONTACT EMAILuarothngl M9mall.com ACKNOWLEDGEMENT Ihavererieuadthis apgrrmicn and confirm the iMomn(ion mnlairred hewn is Nue and Coned. WaHr tlore Wrs'uanlb (M1ispemMmwY mcply rullM1 currenllM I, alele, eMbcim ebehis Aware auere p lWhart eWwdiea epyo la unM Warp Orland autl ndradbytheNetlena muAfval Ce perhown the in mRing han Me aoiWi q issmade. kre being aolhon'the Wharton, Low 1 lam the owne,, al am RAC. etlby Me oxratdthis p,q;eNy fo perb,m nm wam m, wnian apwraa#on is mace. and I mmmly w#n me snare cwmmama Law 1a zT Rcwawe zgssgsa wac. Gty WEwreHOMNeI Use Cray S Ste# 09/10/2022 1 FE'W' O.vnerlAuthorlxed Agent SignMrs Dale (MV 4 XTO22)