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PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTaVGMTTOL MG11111 ,: Emil aW4Adr6 wEmMtldoamstr bPmmXem1[Mgar'9MMaW" V*c MN T[W G al aq FW PW Box <br />WArHIxUTON CONTACTINFORIMTONIP)425251-AOIDE)PermilSxrvicee�everelNm Om'GM1')evarelMn Oevlpmm�le <br />PROJECT SITE INFORMATION <br />PROJECTADDRESS: 1301 56th ST SW, Everefl WA 98203 <br />SITE WORK FOR PROJECT TYPE OSHA -DETACHED OTeorNNOUsE ODUPLEx DADU DMULT)FAMILY OCOMMERGAL 11mus-RIPL <br />IFAPPOCABLE: 13 WDUSEPRWECT#(SEPA,PRE-APP,SS,ETCJ <br />IFAPPUCABLE:❑FR CHISMnLIWCOMPANY,ANNUALBLANKETPERMIT# <br />UTlUTY COMPANYS NAME& JOB#: JOB#: <br />DESCRIPTION OF SITE WORK I RIGHT-OF•WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, ASAPPUCABLE: <br />❑ FENCE IN ROW Fr IN HEIGHT <br />❑DRIVEWAYAPRON/CURB CUT FTpWpIO'E <br />5 PA NG 740 eq SFIN/,l� <br />❑ HUMMING WALL I ROCKERY IN RIGHT-OFWAY LFv <br />❑RETAINING WALL ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />❑ CLEARING / GRADING I FILL I EXCAVATE CY <br />❑CUDBOREINPAVEMENT(PARALLEL) LF <br />❑CUTIHOREINPAVEMEW(NON-PARALLEL) LF <br />DPOLEWORK/AERIAL/OVERLABH LF <br />ADDITIONAL DESCRIPTION (AS NEEDED): <br />DRNNAGE MITGATON QUESTIONS: <br />STORMWATER DISCHARGES TO. <br />0comer drov se <br />D sepuMed Storm Beier <br />DDIree Discol W Sconcal Rl or vupn_ScuM___ <br />TRIGGERED REQUIREMENTS: <br />Oval Dial DMR1-a <br />QUoVVlITYOFPROPOSEDNAROSURFACES: <br />Frapdaed RdafNm: SF <br />Proposed Thermal SF <br />Tot! New a Replace: 740 $F <br />'Noce This is not Asphalt or Concrete Paving but it is pal <br />Re lacin sod With avers fora Patio and Paver Pathways. 624 new hardscaw, and replacing exiting 116sq for a <br />total of 14U sq ft <br />CONTACT INFORMATION <br />OWNER I APPLICANT NAME: Lisa Michell <br />OWNERIAPP. MMLINGADDRESS: Feel 56th STSW <br />.. Everett ..,E WA xm 98203 <br />OWNER/APP. PHONE:425387B345 <br />JOWNER I APP. EMAIL: Iisa@michelilaw.mm <br />-Requiretl for WoA in Pubic RgMq-We) <br />CONTRACTOR NAME: L&S Landscape LLC <br />CONTRACTOR ADDRESS: naan ON 67th Ave NE #A <br />a,a Marysville x>E WA aP 98270 <br />CONTRACTOR PNONE:4252365989 <br />1CONTRsCTOR EMAIL:LSlandscapellc@gmail.com <br />CONTRACTOR LICENSE#IREOJIREO): LSLANLL784J0 <br />EVERE rBUSINESSUCEME4(REQUIRED): 66162 <br />PRIMARY CONTACT: III OWNER (APPLICANT ❑CONTRACTOR ❑ OTHER (Architect, Engineer, Etc.) <br />CONTACT MIME: <br />Lisa Michell <br />CON TACT PNONE:425387E34S <br />CONTACT EMNL InWimicon <br />Ae#NOXEDGEAMNT:IreWrealaBeemA appaeam, aedeoMiner de lebomlamn aa,Ndre4#n.relnAwe aMronxL wwxrnrewmuml rotwcenmmual <br />cvnmY wM current fill sleh, ar llaw. The ewl ora Ptour ws, autwwa ppcwd wori uMro d unbrw IMmM1art Downtown mug Al 6e <br />eWwiadn Ynil' M1wn Xn Braffi'p PTiieltelwe arAhalmduNerary Mwmtrawa.l amtle aner, wlem eutlw�Ytytlw Ovmw UNlapops?yb <br />prbmlM aNN e(gYceMnvmW,W ovnp'y rein ter Vale foNmcim LawlBTIT.WeN R620JAWAC <br />ClfydElamtl fATGeI Vac OMy <br />�� PW <br />lead Dio jR.vixtlYlt/A221 <br />