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� in C I T Y 0 F E V E R E T T <br />�j Public WorksvED <br />vc RdE DEPARTMENT <br />'FVLSHINGT0N BY <br />E�j�+RVJrT DATE r'�/3�/2oxJ <br />CIT}� OF ser,41res CITY OF EVERETT REVIEWED FOR PERMIT <br />Pgfall Project Stormwater Site <br />projects in the Combined Sewer Area <br />D ECEOVE ,r� <br />AUG 3 0 2021 (�' <br />CITY OF EVERETT <br />Permit Services <br />Plan/Report for <br />This Small Project Stormwater Site Plan and Report provides a simplified template to assist small projects in <br />meeting the City of Everett's stormwater requirements in the combined sewer area, per the City's Design <br />and Development Standards and Specifications (DCSS). <br />If you choose to use this template, you are agreeing to construct, operate and maintain the Best Management <br />Practices (BMPs) selected for your project as required to meet City Standards. Alternatively, you may <br />choose to hire a professional or submit your own Stormwater Report (report and drawings) that meets <br />the minimum standards described in the DCSS. <br />Project name: <br />q "3 � AIv����� <br />Project address: r (C-�� ` U) A 11 Permit number: �� <br />Owner name: J ex vv-)( �. , � <br />Owner mailingaddress: 3 l v t r S o'er U <br />'6 � L) <br />`� JCc�0A S 0r tGk-no 1 <br />Owner phone: �-{ �.. '� � � ( '� � � I Owner email: <br />C sV , C-0w\ <br />Applicant name: �GL v`� 2 Sbr- �cL�t\ n <br />�,� r�rs v v �� 0�e� Lo A <br />Applicant mailing address: � �j I � `� � � % �'� <br />CAI `� - S G��, SO (- taA0 ` `� <br />Applicant phone: '� Applicant email: <br />�� `MS � C 0 w1 <br />Primary contact: l Ibwner Applicant ❑ Other (architect, engineer, etc.): <br />Primary contact name: Primary contact phone: ``i � , t � L4 � 2 <br />J a VV-A o r l �c � � Prima contact emaiRp�f vu-t — a � e <br />v�r\ .�, n o C_a `" N <br />Report prepared by: <br />Date: 5 1-56)l z i <br />