315 RIVERSIDE RD 2023-10-27 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:315 Riverside Rd SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY RCOMMERCIAL ❑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: 8 FENCE IN ROW 6' Chalnllnk + 3 strands barbwlre FT IN HEIGHT STORMWA TER 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 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: SF ADDITIONAL DESCRIPTION (AS NEEDED): ITotal New+Replaced: SF Scope of work includes adding automation to double cantilever gate located on the interior of existing perimeter CONTACT INFORMATION OWNER/APPLICANT NAME:Motor Trucks International OWNER/APP. MAILING ADDRESS: ST1EET315 Riverside Rd CITY Everett STATE WA A Zlp 98201 OWNER/APP. PHONE:360-410-8500 OWNER/APP. EMAIL:LNELSON@MOTORTRUCKS.NET `Required for Work in Public Right-of-Way CONTRACTOR NAME: Economy Fence Center CONTRACTOR ADDRESS: ST1EET11709 Cyrus Way CITY Mukilteo STATE WA zip 98275 CONTRACTOR PHONE:425-347-1355 CONTRACTOR EMAIL:dwayne@economyfence.com CONTRACTOR LICENSE#(REQUIRED):ECONOFC912DU 1EVERETT BUSINESS LICENSE#(REQUIRED): 40814 PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425-347-1355 Dwayne Hopper CONTACT EMAIL:DWAYNE@ECONOMYFENCE.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. 1 am the owner,or l 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 Dwayne Hopper 01/24/2023 PERMIT y pp PW Owner/Authorized Agent Signature Date (Revised 4/21/2022)